Kenneth Robert Stiver in Fortuna - Emergency Medicine

Kenneth Robert Stiver - NPI 1992995252

Kenneth Robert Stiver is a Emergency Medicine in Fortuna, California. Kenneth Robert Stiver practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Kenneth Robert Stiver is 1992995252. The last update date is 2008-07-17.

Kenneth Robert Stiver's current location address is 555 Paradise Dr, Fortuna, California. You can contact this provider via phone number 7077252028 and fax number 7077254952. The mailing address for Kenneth Robert Stiver is 555 Paradise Dr, Fortuna, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth Robert Stiver
Address 555 Paradise Dr, Fortuna, California
Phone Number 7077252028
Fax Number 7077254952
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1992995252
Provider Enumeration Date 2007-08-01
Last Updated Date 2008-07-17

Provider Mailing Address Detail

Address 555 Paradise Dr
City Fortuna
State California (CA)
Post Code 955409259
Phone Number 7077252028
Fax Number 7077254952

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No G28027
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G280270 CA --

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FAQs about Kenneth Robert Stiver

What is the unique 10-digit identifier code issued to Kenneth Robert Stiver by the Centers for Medicare & Medicaid Services?

The Kenneth Robert Stiver has been assigned the NPI (National Provider Identifier) 1992995252 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Kenneth Robert Stiver?

The Kenneth Robert Stiver is situated at 555 Paradise Dr, in the city of Fortuna, state of CA, with the zip code 955409259.

What is Kenneth Robert Stiver's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kenneth Robert Stiver's area of specialization is Emergency Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207P00000X.

When was the Kenneth Robert Stiver's 1992995252 issued?

The Kenneth Robert Stiver's 1992995252 was issued on 2007-08-01.

As of what date was the information regarding Kenneth Robert Stiver, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Kenneth Robert Stiver, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-17.

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