Individual
MRS. DAWN LARAE STEPHENS
Active
Individual
MRS. DAWN LARAE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100319840C
—
KS
01
—
10325
TRIWEST
KS
01
—
140660
BCBS
KS
01
—
61143300
FEDERAL WORK COMP
KS
01
—
P00183406
RAIL ROAD MEDICARE
KS
Enumeration date
06/22/2005
Last updated
04/30/2018
Update your record
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