Kenna J Stephenson in Prescott - Family Medicine
Kenna J Stephenson - NPI 1962697755
Kenna J Stephenson is a Family Medicine in Prescott, Arizona. Kenna J Stephenson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kenna J Stephenson is 1962697755. The last update date is 2023-06-30.
Kenna J Stephenson's current location address is 1090 Commerce Dr, Prescott, Arizona. You can contact this provider via phone number 9285831000 and fax number 8663238458. The mailing address for Kenna J Stephenson is 1090 Commerce Dr, Prescott, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenna J Stephenson |
|---|---|
| Address | 1090 Commerce Dr, Prescott, Arizona |
| Phone Number | 9285831000 |
| Fax Number | 8663238458 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1962697755 |
|---|---|
| Provider Enumeration Date | 2007-09-13 |
| Last Updated Date | 2023-06-30 |
Provider Mailing Address Detail
| Address | 1090 Commerce Dr |
|---|---|
| City | Prescott |
| State | Arizona (AZ) |
| Post Code | 863053700 |
| Phone Number | 9285831000 |
| Fax Number | 8663238458 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | H8435 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 137268211 | TX | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Kenna J Stephenson by the Centers for Medicare & Medicaid Services?
The Kenna J Stephenson has been issued the NPI (National Provider Identifier) 1962697755. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Kenna J Stephenson is located?
The Kenna J Stephenson is situated at the following address: 1090 Commerce Dr, Prescott, AZ, 863053700.
What is Kenna J Stephenson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenna J Stephenson's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
When did the Kenna J Stephenson receive its 1962697755?
The Kenna J Stephenson was issued its 1962697755 on 2007-09-13, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Kenna J Stephenson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kenna J Stephenson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-06-30.