Individual
KYLE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 COOPER PLZ STE 294B, CAMDEN, NJ 08103-1461
(856) 342-2425
Mailing address
829 ELLIS AVE, NEWTOWN SQUARE, PA 19073-3904
(570) 954-8117
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ01187800
NJ
367500000X
Certified Registered Nurse Anesthetist
RN566423
PA
Other
Enumeration date
08/19/2015
Last updated
11/01/2021
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