Individual provider · Type 1 NPI

Kyle Stephens, MD

Student in an Organized Health Care Education/Training Program · Louisville, KY

NPI number 1497332464 Active

Practice location

550 S Jackson St
Louisville, KY 40202-1622

Mailing address

457 Colonial Ave SW
Los Lunas, NM 87031-8581

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 1497332464

Kyle Stephens, MD's National Provider Identifier is 1497332464, issued on Mar 25, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Louisville, KY. The record was last updated on Mar 25, 2021.