Individual
KENTON EDGAR STEPHENS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2751 DEBARR RD STE B320, ANCHORAGE, AK 99508-6805
(907) 375-2000
(907) 375-5558
Mailing address
PO BOX 743896, ATLANTA, GA 30374-3896
(907) 375-2000
(907) 375-5558
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4620
AK
Other
Enumeration date
07/13/2006
Last updated
08/04/2022
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