Individual
KELLY MARIE STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
804 22ND AVE, KEARNEY, NE 68845-2206
(308) 455-3600
(308) 455-3950
Mailing address
804 22ND AVE, KEARNEY, NE 68845-2206
(308) 455-3600
(308) 455-3950
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15-01496
KS
363A00000X
Physician Assistant
Primary
1535
NE
Other
Enumeration date
07/19/2010
Last updated
12/11/2014
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