| E Kent Stevenson Md Pc | |
|
5200 W 94th Ter Suite 105 Prairie Village KS 66207-2522 | |
| (913) 649-5567 | |
| (913) 649-7563 |
| Full Name | E Kent Stevenson Md Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 5200 W 94th Ter, Prairie Village, Kansas |
| Authorized Official Name and Position | Edward Kent Stevenson (PRESIDENT) |
| Authorized Official Contact | 9136495567 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| E Kent Stevenson Md Pc 5200 W 94th Ter Suite 105 Prairie Village KS 66207-2522 Ph: (913) 649-5567 | E Kent Stevenson Md Pc 5200 W 94th Ter Suite 105 Prairie Village KS 66207-2522 Ph: (913) 649-5567 |
| NPI Number | 1275857575 |
|---|---|
| Provider Enumeration Date | 03/16/2010 |
| Last Update Date | 04/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275857575 | NPI | - | NPPES |
| 04563147 | Other | KS | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0415789 (Kansas) | Primary |
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