Individual
KRISTA STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10030 GILEAD RD STE 245, HUNTERSVILLE, NC 28078-7545
(704) 895-9390
Mailing address
PO BOX 604350, CHARLOTTE, NC 28260-4350
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2025-03912
NC
208600000X
Surgery Physician
V1273
TX
2086X0206X
Surgical Oncology Physician
V1273
TX
Other
Enumeration date
03/27/2017
Last updated
03/19/2026
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