Individual
DR. KEVIN LEE STITELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
D48064
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232884
MAMSI
MD
05
—
852121200
—
MD
01
—
E4810003
CAREFIRST BLUECHOICE
MD
Enumeration date
11/07/2005
Last updated
12/08/2013
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