Individual
MR. KEVIN STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
8607
GA
163WC0200X
Critical Care Medicine Registered Nurse
RN194050
GA
163WC1600X
Continuing Education/Staff Development Registered Nurse
RN194050
GA
163WE0003X
Emergency Registered Nurse
Primary
RN194050
GA
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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