Individual
DR. KELSIE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
6815 N 19TH AVE STE 130, PHOENIX, AZ 85015-1135
(602) 242-5293
Mailing address
3015 N SCOTTSDALE RD UNIT 4102, SCOTTSDALE, AZ 85251-7253
(860) 690-0948
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-002450
AZ
Other
Enumeration date
07/23/2020
Last updated
07/23/2020
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