Individual
DR. KEISHA CONSUELLA STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1901 TATE SPRINGS RD, LYNCHBURG, VA 24501-1109
(434) 200-3000
Mailing address
PO BOX 602530, CHARLOTTE, NC 28260-2530
(910) 642-1776
(910) 642-9305
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101237387
VA
207R00000X
Internal Medicine Physician
054038
GA
207R00000X
Internal Medicine Physician
200500118
NC
208M00000X
Hospitalist Physician
Primary
0101237387
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336120864
—
NC
05
—
NC2234
—
SC
Enumeration date
11/10/2005
Last updated
05/22/2025
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