Individual
DR. KENNA J STEPHENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1090 COMMERCE DR, PRESCOTT, AZ 86305-3700
(928) 583-1000
(866) 323-8458
Mailing address
PO BOX 188, MARANA, AZ 85653-0188
(520) 616-1531
(520) 616-1536
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27158
AZ
207Q00000X
Family Medicine Physician
H8435
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137268211
—
TX
Enumeration date
09/13/2007
Last updated
10/13/2025
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