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Individual
STEPHEN C KISS
Active
Individual
STEPHEN C KISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD021237
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3057744
—
TN
01
—
3158710
BCBS
TN
01
—
390007329
RAILROAD MEDICARE
TN
01
—
4404715
AETNA US HEALTHCARE
TN
01
—
602003832
CARITEN HEALTHCARE
TN
Enumeration date
06/22/2005
Last updated
05/04/2012
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