Individual
DAMIEN R STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3901 RAINBOW BLVD, MAIL STOP 3007, KANSAS CITY, KS 66103-2937
(913) 588-6045
(913) 588-4098
Mailing address
3901 RAINBOW BLVD, MAIL STOP 3007, KANSAS CITY, KS 66103-2937
(913) 588-6045
(913) 588-4098
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0430396
KS
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
2003023604
MO
207RP1001X
Pulmonary Disease Physician
0430396
KS
207RP1001X
Pulmonary Disease Physician
Primary
2003023604
MO
207RS0012X
Sleep Medicine (Internal Medicine) Physician
04-30396
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001668700
COMMUNITY HEALTH PLAN
—
01
—
104188
BCBS KS
KS
05
—
200004070A
—
KS
05
—
208198416
—
MO
01
—
21782034
BCBS KC
MO
Enumeration date
08/11/2005
Last updated
08/24/2011
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