Provider Demographics
NPI:1114154960
Name:STEVENS, JOSHUA ALAN (MD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:ALAN
Last Name:STEVENS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:15430 S ROGERS RD
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-3497
Mailing Address - Country:US
Mailing Address - Phone:913-495-9905
Mailing Address - Fax:913-495-9945
Practice Address - Street 1:15430 S ROGERS RD
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-3497
Practice Address - Country:US
Practice Address - Phone:913-495-9905
Practice Address - Fax:913-495-9945
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-19
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04406132083P0500X
KS04-40613208D00000X
MO2019014750208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine