Individual
MR. KEVIN STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(928) 814-4101
Mailing address
401 N CROMWELL RD APT E6, SAVANNAH, GA 31410-3842
(928) 814-4101
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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