Individual
THAD A STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
930 CARONDELET DR STE 200, KANSAS CITY, MO 64114-4698
(816) 943-5690
(816) 943-3156
Mailing address
930 CARONDELET DR STE 200, KANSAS CITY, MO 64114-4698
(816) 943-5690
(816) 943-3156
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
102147
MO
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
04-29528
KS
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
MD102147
MO
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
04-29528
KS
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
Primary
102147
MO
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
102147
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100174340G
—
KS
05
—
100174340H
—
KS
Enumeration date
07/21/2005
Last updated
11/18/2025
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