Individual
KIM C STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LA.C
Contact information
Practice address
5261 N PORT WASHINGTON RD, MILWAUKEE, WI 53217-4903
(414) 332-6001
Mailing address
2902 N 75TH ST, MILWAUKEE, WI 53210-1024
(414) 899-3969
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
317-055
WI
Other
Enumeration date
06/20/2010
Last updated
06/20/2010
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