Individual
MS. KERSTIN LEIGH STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
3901 RAINBOW BLVD, MAIL STOP 1042, KANSAS CITY, KS 66160
(913) 588-6022
(913) 535-2101
Mailing address
3901 RAINBOW BLVD, MAIL STOP 1042, KANSAS CITY, KS 66160
(913) 588-6022
(913) 588-4060
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2009017044
MO
363AS0400X
Surgical Physician Assistant
1500845
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200638240A
—
KS
Enumeration date
03/29/2006
Last updated
04/23/2019
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