Individual
KAREN J STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7401 104TH AVE, SUITE 110, KENOSHA, WI 53142-7845
(262) 764-5595
(262) 764-9314
Mailing address
7401 104TH AVE, SUITE 110, KENOSHA, WI 53142-7845
(262) 764-5595
(262) 764-9314
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
697023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42941600
—
WI
Enumeration date
11/10/2005
Last updated
01/19/2017
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