Individual
MR. KEVIN STUESSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
55719
CA
363AM0700X
Medical Physician Assistant
Primary
PA13836
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2014
Last updated
11/09/2020
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