| Doctor Name: | MRS. KIMBERLY STEVENS |
| NPI Number: | 1649325192 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | RN067159 |
| Business Practice Address: | 682 W School Bus Ln Snowflake, AZ - 859375262 |
| Business Phone Number: | 9285364156 |
| Business Fax Number: | |
| Mailing Address: | 2731 Old School House Rd, SHOW LOW |
| State: | AZ |
| Postal Code: | 859019421 |
| Phone Number: | 9285362617 |
| Fax Number: | |
| NPI Enumeration Date: | 01/24/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | RN067159 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |