National Provider Identifier
Kent Martin Stephenson, MD
Kent Martin Stephenson, MD is listed in the NPPES registry with a primary specialty of Clinical Cardiac Electrophysiology Physician in Elmira, NY and a listed phone number of (607) 737-4130.
Profile Overview
- NPI
- 1962499525
- Provider Type
- Individual
- Primary Specialty
- Clinical Cardiac Electrophysiology Physician
- Enumeration Date
- September 29, 2005
- Last Updated
- December 01, 2020
Practice Location
- 600 Roe Avenue, Suite 1A
- Elmira, NY 14905-1629
Phone: (607) 737-4130
Mailing Address
- 571 Saint Josephs Blvd
- Fl 2
- Elmira, NY 14901-3230
Specialties
- Clinical Cardiac Electrophysiology Physician (207RC0001X)
- Cardiovascular Disease Physician (207RC0000X)
Full Record
- NPI
- 1962499525
- Entity Type
- Individual
- Last Name
- Stephenson
- First Name
- Kent
- Middle Name
- Martin
- Credential
- MD
- Mailing Street Address
- 571 Saint Josephs Blvd
- Mailing Address Line 2
- Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2050
- Mailing Fax
- (607) 271-2099
- Practice Street Address
- 600 Roe Avenue, Suite 1A
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1629
- Practice Country
- US
- Practice Phone
- (607) 737-4130
- Practice Fax
- (607) 737-4530
- Enumeration Date
- September 29, 2005
- Last Updated
- December 01, 2020
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- December 01, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Cardiac Electrophysiology Physician (207RC0001X), Cardiovascular Disease Physician (207RC0000X)
- Other Identifiers
- 103615183 (PA), 02822920 (NY)