Individual
DR. KEVIN LESSARD STIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5131 BEACON HILL RD STE 120, COLUMBUS, OH 43228-4442
(614) 486-2000
(614) 533-0052
Mailing address
5400 FRANTZ RD STE 250, DUBLIN, OH 43016-6102
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.095336
OH
207RI0011X
Interventional Cardiology Physician
Primary
35.095336
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3119020
—
OH
Enumeration date
06/23/2008
Last updated
01/25/2022
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