Individual
MRS. LINLY C STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4601 W 109TH ST, SUITE 116, OVERLAND PARK, KS 66211-1313
(913) 469-1115
(913) 469-9446
Mailing address
4601 W 109TH ST, SUITE 116, OVERLAND PARK, KS 66211-1313
(913) 469-1115
(913) 469-9446
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
15-00836
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00122609
MEDICARE RAILROAD
KS
Enumeration date
04/26/2006
Last updated
07/13/2022
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