Individual
DR. KRISTIN LEANNE STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
325 OLD PLEASANT GROVE RD, MT JULIET, TN 37122-4493
(629) 255-2263
(629) 255-4209
Mailing address
222 22ND AVE N, NASHVILLE, TN 37203-1852
(629) 255-3486
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
60828
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60828
—
TN
Enumeration date
05/28/2015
Last updated
06/13/2022
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