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Paul Kenneth Stevens, DO
Obstetrics & Gynecology Physician in Twin Falls, Idaho
NPI 1376809202

Paul Kenneth Stevens is a Obstetrics & Gynecology Physician based in Twin Falls, ID. Paul Kenneth Stevens practices in Twin Falls, ID and has the professional credentials of DO. The NPI Number for Paul Kenneth Stevens is 1376809202 and holds a License No. (Idaho).

The current practice location address for Paul Kenneth Stevens is 801 Pole Line Rd W, Twin Falls, ID and can be reached out via phone at 208-814-8500 and via fax at 208-814-8960.

Location: 801 Pole Line Rd W, Twin Falls, ID, 83301-5810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376809202
Provider Name
Paul Kenneth Stevens
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
801 Pole Line Rd W, Twin Falls, ID, 83301-5810
Phone Number
208-814-8500
Fax Number
208-814-8960
Provider Enumeration Date
04/04/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1376809202 01 ID NPI
institution
Provider Business Practice Location Address Details
Address
801 Pole Line Rd W
City
Twin Falls
State
Idaho
Zip
83301-5810
Phone Number
208-814-8500
Fax Number
208-814-8960
person
Provider Business Mailing Address Details
Address
801 Pole Line Rd W
City
Twin Falls
State
Idaho
Zip
83301-5810
Phone Number
208-814-8500
Fax Number
208-814-8960
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
O-0944 (Idaho)
Definition
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.
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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