# DR. KEVIN C. STEPHENS

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

## Provider details

- **NPI number:** 1588702666
- **Gender:** Man
- **Credential:** DMD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 30023899 | OH | — |
| 1223G0001X | General Practice Dentistry | 4233 | WV | — |
| 1223G0001X | General Practice Dentistry | 6780 | KY | Yes |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 11/12/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0088555 | — | OH |
| 05 | — | 3810026312 | — | WV |
| 05 | — | 60067808 | — | KY |