| Doctor Name: | DR. KEITH STEPHENSON |
| NPI Number: | 1154547768 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | MD-7206 |
| Business Practice Address: | 2310 Kuhio Ave Ste 223 Honolulu, HI - 968152950 |
| Business Phone Number: | 8086741600 |
| Business Fax Number: | 8089431116 |
| Mailing Address: | 1201 Wilder Ave Apt 2906, HONOLULU |
| State: | HI |
| Postal Code: | 968223151 |
| Phone Number: | 8086741600 |
| Fax Number: | |
| NPI Enumeration Date: | 04/18/2007 |
| NPI Last Update Date: | 04/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | MD-7206 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |