Individual
DR. KATHRYN BISHOP STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
13130 BLANCO RD APT 501, SAN ANTONIO, TX 78216-2166
(865) 310-7129
Mailing address
13130 BLANCO RD APT 501, SAN ANTONIO, TX 78216-2166
(865) 310-7129
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
23996
TN
208000000X
Pediatrics Physician
Primary
P8735
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0148861
BCBS
TN
05
—
3071715
—
TN
Enumeration date
09/21/2005
Last updated
11/25/2022
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