Kelly R Stevens
Medical Specialty
Professional ID
- NPI: 1427424522
- PECOS ID: 3375851538
- Enrollment ID: I20151007003220
- Credential(MD, DO, DPM):
- Medical School:
- Medical School Graduation Year: 2015
Hospital Service
- Hospital CCN1: 030064
- Business Name (LBN)1: Banner-university Medical Center Tucson Campus
- Hospital CCN2: 030111
- Business Name (LBN)2: Banner-university Medical Center South Campus
Medical Practices
- Organization Name: Banner University Medical Group
- Group Practice ID assigned by PECOS: 7719899871
- Number of Group Practice member: 667
Location
- Address1: 1141 S La Canada Dr
- Address2: Banner Univ Med Center Tucson Campus Green Valley
- City: Green Valley
- State: Arizona
- Zip Code: 85614
- Phone Number: (520)694-3030
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):