Paul Kenneth Stevens, D.O.
Obstetrics & Gynecology in Twin Falls, ID. Individual provider (NPI-1).
NPI number1376809202
StatusActive
Last updated in NPPESJun 17, 2016
Details
- NPI
- 1376809202
- Entity type
- Individual (NPI-1)
- Name
- Paul Kenneth Stevens
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 4, 2012
- Last updated
- Jun 17, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OBSTETRICS/GYNECOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | O-0944 | ID | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
801 Pole Line Rd WMagic Valley Women'S Health Clinic
Twin Falls, ID 83301-5810
Phone 208-814-8500 · Fax 208-814-8960
Mailing address
801 Pole Line Rd WMagic Valley Women'S Health Clinic
Twin Falls, ID 83301-5810
Phone 208-814-8500 · Fax 208-814-8960
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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