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Individual

KAREN SUZANNE STEPHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
9501 STATE AVE, SUITE 2, KANSAS CITY, KS 66111-1872
(913) 299-7200
(913) 334-4451
Mailing address
9501 STATE AVE, SUITE 2, KANSAS CITY, KS 66111-1872
(913) 299-7200
(913) 334-4451

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1425-3
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25423031
BLUE CROSS BLUE SHIELD OF KANSAS CITY
KS
Enumeration date
09/28/2005
Last updated
10/23/2009
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