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KATHRYN ANNE STEVENS MD NPI 1104818111


NPI Information

NPI: 1104818111
Provider Name: KATHRYN ANNE STEVENS, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual
Address:
1703 LEWIS TURNER BLVD
FORT WALTON BEACH, FL
ZIP 32547
Phone: (850) 863-1000
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Kathryn Anne Stevens, MD is an obstetrics gynecology in Fort Walton Beach, FL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. Kathryn Anne Stevens, MD NPI is 1104818111. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1703 LEWIS TURNER BLVD
FORT WALTON BEACH, FL
ZIP 32547-221
Phone: (850) 863-1000
Fax: (850) 863-0800

The enumeration date for this NPI number is 8/16/2005 and was last updated on 12/15/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & GynecologyME84285FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K3609MEDICARE ID-TYPE UNSPECIFIEDFLORIDAGROUP
211131OTHERBCBS OF FL
3H62620MEDICARE UPIN
411131ZMEDICARE ID-TYPE UNSPECIFIEDFLORIDA
5264593900MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.