Kenneth Stevens in San Luis Obispo - Phlebology
Kenneth Stevens - NPI 1184643629
Kenneth Stevens is a Phlebology in San Luis Obispo, California. Kenneth Stevens practices all healthcare services and medical treatments related to Phlebology. The NPI Number for Kenneth Stevens is 1184643629. The last update date is 2018-04-24.
Kenneth Stevens's current location address is 3231 S Higuera St, San Luis Obispo, California. You can contact this provider via phone number 8055403333 and fax number 8055403344. The mailing address for Kenneth Stevens is 3231 S Higuera St, San Luis Obispo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Stevens |
|---|---|
| Address | 3231 S Higuera St, San Luis Obispo, California |
| Phone Number | 8055403333 |
| Fax Number | 8055403344 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1184643629 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2018-04-24 |
Provider Mailing Address Detail
| Address | 3231 S Higuera St |
|---|---|
| City | San Luis Obispo |
| State | California (CA) |
| Post Code | 934016924 |
| Phone Number | 8055403333 |
| Fax Number | 8055403344 |
Provider's Primary Taxonomy Detail
| Speciality | Phlebology |
|---|---|
| Taxonomy | 202K00000X |
| Licence No | A102905 |
|
Definition: Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and o |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0A1029050 | CA | BLUE SHIELD PROVIDER NUMBER | |
| 9136184 | CA | AETNA PROVIDER NUMBER | |
| A102905 | CA | MEDICAL BOARD LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth Stevens by the Centers for Medicare & Medicaid Services (CMS)?
The Kenneth Stevens has been assigned the NPI (National Provider Identifier) 1184643629. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Kenneth Stevens located?
The Kenneth Stevens is located at 3231 S Higuera St, San Luis Obispo, CA 934016924.
What is the Kenneth Stevens's specialty and taxonomy code?
The Kenneth Stevens's specialty is Phlebology, and the corresponding taxonomy code is 202K00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1184643629 to Kenneth Stevens?
The Centers for Medicare & Medicaid Services assigned the 1184643629 to Kenneth Stevens on 2006-07-18.
When was the Kenneth Stevens's information last updated?
The Kenneth Stevens's information was last updated on 2018-04-24.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN