Individual
NAKITA LAURA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7450 KESSLER ST STE 205, MERRIAM, KS 66204-2553
(913) 632-9810
(913) 632-9828
Mailing address
7450 KESSLER ST STE 205, MERRIAM, KS 66204-2553
(913) 632-9810
(913) 632-9828
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
04-42544
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XGC0452M20163
ANTHEM
CT
Enumeration date
08/19/2011
Last updated
12/16/2020
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