# KIMBERLY DE STEFANO

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1568487825
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | ME96503 | FL | — |
| 207V00000X | Obstetrics & Gynecology Physician | N3614 | TX | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | ME96503 | FL | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | N3614 | TX | Yes |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 01/04/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 207918801 | — | TX |
| 05 | — | 276233400 | — | FL |
| 01 | — | 56595 | BLUE CROSS BLUE SHIELD | FL |