Individual
DR. KEVIN C. STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
42 MCGINNIS DR, WAYNE, WV 25570-9553
(304) 272-5136
(304) 272-3807
Mailing address
901 N YARNALLTON PIKE, LEXINGTON, KY 40511-9092
(859) 381-1348
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
30023899
OH
1223G0001X
General Practice Dentistry
4233
WV
1223G0001X
General Practice Dentistry
Primary
6780
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0088555
—
OH
05
—
3810026312
—
WV
05
—
60067808
—
KY
Enumeration date
02/02/2007
Last updated
11/12/2020
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