Individual
DR. KATHRYN MARIE STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1107 US HIGHWAY 395 N, GARDNERVILLE, NV 89410-5304
(775) 782-1695
(775) 782-1558
Mailing address
1111 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150-6207
(530) 543-5979
(530) 541-8723
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10544
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100505467
—
NV
05
—
100506479
—
NV
05
—
XPY202245
—
CA
Enumeration date
06/28/2005
Last updated
12/15/2021
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