person
Dr. Kenneth A Stephenson, MD
Specialist in Lubbock, Texas
NPI 1245234871

Kenneth A Stephenson is a Specialist based in Lubbock, TX. Kenneth A Stephenson practices in Lubbock, TX and has the professional credentials of MD. The NPI Number for Kenneth A Stephenson is 1245234871 and holds a License No. J0871 (Texas).

The current practice location address for Kenneth A Stephenson is 301 Utica Ave, Lubbock, TX and can be reached out via phone at 806-797-4985 and via fax at 806-792-8588. You can also correspond with Kenneth A Stephenson through the mailing address at 301 UTICA AVE, LUBBOCK, TX - 79416-3111 (mailing address contact number: 806-797-4985).

Location: 301 Utica Ave, Lubbock, TX, 79416-3111
person
Provider Profile Details
NPI Number
1245234871
Provider Name
Kenneth A Stephenson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
301 Utica Ave, Lubbock, TX, 79416-3111
Phone Number
806-797-4985
Fax Number
806-792-8588
Provider Enumeration Date
06/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
104069302 05 TX
institution
Provider Business Practice Location Address Details
Address
301 Utica Ave
City
State
Zip
79416-3111
Phone Number
806-797-4985
Fax Number
806-792-8588
person
Provider Business Mailing Address Details
Address
301 Utica Ave
City
State
Zip
79416-3111
Phone Number
806-797-4985
Fax Number
806-792-8588
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
J0871 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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