Individual
KEVIN STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 TN-28, JASPER, TN 37347
(423) 837-3400
Mailing address
120 TOULOUSE ST, MEMPHIS, TN 38103-4835
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD0000055159
TN
Other
Enumeration date
04/17/2014
Last updated
02/06/2019
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