Individual
KEONA LEE STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
825 EUCLID AVE, KANSAS CITY, MO 64124-2323
(816) 474-4920
(816) 474-4914
Mailing address
825 EUCLID AVE, KANSAS CITY, MO 64124-2323
(816) 474-4920
(816) 474-4914
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2000146246
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000146246
FNP LICENSE
MO
Enumeration date
01/30/2006
Last updated
12/01/2011
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