Individual
KIMBERLY ANNE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC, MBG, TP
Contact information
Practice address
3286 VINEVILLE AVE STE A, MACON, GA 31204-0787
(478) 227-2948
Mailing address
3286 VINEVILLE AVE STE A, MACON, GA 31204-0787
(478) 227-2948
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
1744P3200X
GA
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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