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Kenneth R Stevens III
Internal Medicine Physician in San Diego, California
NPI 1134569882

Kenneth R Stevens III is a Internal Medicine Physician based in San Diego, CA. Kenneth R Stevens III practices in San Diego, CA. The NPI Number for Kenneth R Stevens III is 1134569882 and holds a License No. (California).

The current practice location address for Kenneth R Stevens III is 4077 Fifth Ave # Mer35, San Diego, CA and can be reached out via phone at 503-998-0614.

Location: 4077 Fifth Ave # Mer35, San Diego, CA, 92103-2912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134569882
Provider Name
Kenneth R Stevens III
Credential
Provider Entity Type
Individual
Gender
Male
Address
4077 Fifth Ave # Mer35, San Diego, CA, 92103-2912
Phone Number
503-998-0614
Fax Number
Provider Enumeration Date
06/26/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4077 Fifth Ave # Mer35
City
San Diego
State
California
Zip
92103
Phone Number
503-998-0614
Fax Number
person
Provider Business Mailing Address Details
Address
4077 Fifth Ave # Mer35
City
San Diego
State
California
Zip
92103
Phone Number
503-998-0614
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
148746 (California)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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