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KADIE LOUISE STEPHENS MD
NPI 1174317846
Student in an Organized Health Care Education/Training Program in Peoria, IL

Active since April 08, 2025
530 NE GLEN OAK AVE # SFNB2620, PEORIA, IL 61637(309) 655-6710(309) 624-9887 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kadie Louise Stephens Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KADIE LOUISE STEPHENS MD (NPI 1174317846) is an individual student in an organized health care education/training program in Peoria, Illinois and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1174317846
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKADIE LOUISE STEPHENSCredential: MD
Location Address530 NE GLEN OAK AVE # SFNB2620Peoria, IL 61637-0001
Mailing Address530 Ne Glen Oak Ave # Sfnb2620Peoria, IL 61637-0001
Phone(309) 655-6710
Fax(309) 624-9887
Sole ProprietorNo
Enumeration DateApril 8, 2025
Last NPPES UpdateMay 1, 2025
NPPES CertifiedMay 1, 2025
✔ NPI 1174317846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
530 NE GLEN OAK AVE # SFNB2620, Peoria, IL 61637
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kadie Stephens's NPI number?

The NPI number for Kadie Stephens is 1174317846. It was assigned to this individual provider in the NPPES registry on April 8, 2025.

Where is Kadie Stephens located?

Kadie Stephens practices at 530 NE Glen Oak Ave # Sfnb2620, Peoria, IL 61637. The listed phone number is (309) 655-6710.

What is Kadie Stephens's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kadie Stephens was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.