Individual
MRS. KATHLEEN MARIE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
289 IRELAND AVE., BUILDING 851, FORT KNOX, KY 40121-5111
(502) 624-4031
Mailing address
545 LEVI BEAMS RD, MAGNOLIA, KY 42757-7960
(270) 324-3085
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2403P
KY
367A00000X
Advanced Practice Midwife
2403M
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78240306
—
KY
Enumeration date
09/06/2005
Last updated
10/29/2014
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