Individual
KEVIN M STEVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
347 N KUAKINI ST, HONOLULU, HI 96817-2306
(808) 522-0190
(808) 523-9068
Mailing address
321 N KUAKINI ST, SUITE 405, HONOLULU, HI 96817-2364
(808) 522-0190
(808) 523-9068
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD12846
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055021101
—
HI
05
—
0055021102
—
HI
01
—
00A0246627
HMSA
HI
01
—
00B0246625
HMSA
HI
01
—
103802483
US MARSHALL SVC-FED DET C
HI
01
—
108-2145098
AETNA
HI
01
—
201243800
US LABOR DEPT
HI
01
—
508528
HI ELEC
HI
01
—
550211-01
ST DEPT OF PUB SAFETY
HI
01
—
550211-02
ST DEPT OF PUB SAFETY
HI
01
—
7698147
UHA
HI
01
—
990157698
AETNA, UHC, CIGNA
HI
01
—
990157698-96701-B013
TRICARE
HI
01
—
990157698-96817-B011
TRICARE
HI
01
—
MD12846
QUEENS HEALTHCARE
HI
01
—
P00173080
PALMETTO GBA
HI
Enumeration date
04/25/2006
Last updated
10/28/2008
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