Individual
MRS. KIMBERLY STEVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
682 W SCHOOL BUS LN, SNOWFLAKE, AZ 85937-5262
(928) 536-4156
Mailing address
2731 OLD SCHOOL HOUSE RD, SHOW LOW, AZ 85901-9421
(928) 536-2617
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN067159
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
552423
—
AZ
Enumeration date
01/24/2007
Last updated
07/09/2007
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