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Individual
PAUL KENNETH STEVENS
Active
Individual
PAUL KENNETH STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
O-0944
ID
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376809202
NPI
ID
Enumeration date
04/04/2012
Last updated
06/17/2016
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