Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | A82820 | CA |
NPI | 1013076603 |
---|---|
Provider Name | Kevin P. Stiles |
First Address | Bakersfield, CA 93301-1407 |
Second Address | Bakersfield, CA 93301-1407 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2006 |
Last Update Date | 01/12/2021 |