Keith Marshall Stevens Iii, | |
20 Candy Ln, Belle, WV 25015-1100 | |
(304) 545-8662 | |
Not Available |
Full Name | Keith Marshall Stevens Iii |
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Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 20 Candy Ln, Belle, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1295476687 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 103437 (West Virginia) | Primary |
Entity Name | Braxton County Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356304547 PECOS PAC ID: 5193717759 Enrollment ID: O20040401001560 |
Entity Name | West Virginia Health Care Cooperative Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417415324 PECOS PAC ID: 9830431030 Enrollment ID: O20190508000440 |
Mailing Address | Practice Location Address |
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Keith Marshall Stevens Iii, 20 Candy Ln, Belle, WV 25015-1100 Ph: (304) 545-8662 | Keith Marshall Stevens Iii, 20 Candy Ln, Belle, WV 25015-1100 Ph: (304) 545-8662 |
Mrs. Megan Sims Sweeney, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 80 W 34th St, Belle, WV 25015 Phone: 304-925-4565 | |
Samantha Tee Crowder-arrington, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 302 E 7th St, Belle, WV 25015 Phone: 304-949-5197 |