Organization
STEVENS SLEEP CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY SUZANNE STEVENS MD (OWNER)
(913) 244-5805
Entity
Organization
Contact information
Practice address
11881 W 112TH ST, OVERLAND PARK, KS 66210-2717
(913) 754-3275
Mailing address
6725 LONGVIEW RD, SHAWNEE, KS 66218-9284
(913) 244-5805
Taxonomy
Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811931231
—
KS
Enumeration date
02/04/2022
Last updated
04/17/2023
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