Individual
DR. KEVIN JAMES STEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4500 MEMORIAL DR, BELLEVILLE, IL 62226-5360
(618) 960-1185
Mailing address
116 STARLIGHT DR, BELLEVILLE, IL 62226-4929
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2014001570
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
209007464
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209007464
—
IL
Enumeration date
05/19/2009
Last updated
03/07/2021
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