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Kenneth Stevens, MD
Cardiovascular Disease Physician in San Luis Obispo, California
NPI 1184643629

Kenneth Stevens is a Cardiovascular Disease Physician based in San Luis Obispo, CA and is specialized in Cardiovascular Disease. Kenneth Stevens practices in San Luis Obispo, CA and has the professional credentials of MD. The NPI Number for Kenneth Stevens is 1184643629 and holds a License No. A102905 (California).

The current practice location address for Kenneth Stevens is 3231 S Higuera St, San Luis Obispo, CA and can be reached out via phone at 805-540-3333 and via fax at 805-540-3344.

Location: 3231 S Higuera St, San Luis Obispo, CA, 93401-6924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184643629
Provider Name
Kenneth Stevens
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3231 S Higuera St, San Luis Obispo, CA, 93401-6924
Phone Number
805-540-3333
Fax Number
805-540-3344
Provider Enumeration Date
07/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0A1029050 01 CA BLUE SHIELD PROVIDER NUMBER
9136184 01 CA AETNA PROVIDER NUMBER
A102905 01 CA MEDICAL BOARD LICENSE
institution
Provider Business Practice Location Address Details
Address
3231 S Higuera St
City
San Luis Obispo
State
California
Zip
93401-6924
Phone Number
805-540-3333
Fax Number
805-540-3344
person
Provider Business Mailing Address Details
Address
3231 S Higuera St
City
San Luis Obispo
State
California
Zip
93401-6924
Phone Number
805-540-3333
Fax Number
805-540-3344
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Phlebology
Speciality
-
Taxonomy
202K00000X
License No.
A102905 (California)
Definition
Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
A102905 (California)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Interventional Cardiology
Taxonomy
207RI0011X
License No.
A102905 (California)
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
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93401-6924
805-540-3333
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