Organization Name: | OBSTETRICS & GYNECOLOGY PA |
NPI Number: | 1518975143 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHRYN A STEVENS (OWNER/PHYSICIAN) |
Mailing Address: | 1703 Lewis Turner Blvd Fort Walton Beach |
State: | FL US |
Postal Code: | 325471221 |
Phone Number: | 8508631000 |
Fax Number: | 8508630800 |
NPI Enumeration Date: | 08/03/2006 |
NPI Last Update Date: | 03/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | ME84285 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy 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. |