Individual
DR. SCOTT KENNETH STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2640 BIEHN ST., SUITE 3, KLAMATH OPHTHALMOLOGY, PC DBA KLAMATH EYE CENTER, KLAMATH FALLS, OR 97601-1181
(541) 884-3148
Mailing address
2640 BIEHN ST., SUITE 3, KLAMATH OPHTHALMOLOGY, PC DBA KLAMATH EYE CENTER, KLAMATH FALLS, OR 97601-1181
(541) 884-3148
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD29440
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306055413
—
OR
01
—
930657210
TAX ID
OR
Enumeration date
05/22/2007
Last updated
02/11/2021
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