Individual provider · Type 1 NPI

Kadie Louise Stephens, MD

Student in an Organized Health Care Education/Training Program · Peoria, IL

NPI number 1174317846 Active

Practice location

530 NE Glen Oak Ave # SFNB2620
Peoria, IL 61637-0001

Call (309) 655-6710 Map

Fax (309) 624-9887

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1174317846

Kadie Louise Stephens, MD's National Provider Identifier is 1174317846, issued on Apr 8, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Peoria, IL. The record was last updated on May 1, 2025.