Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenneth Edward Stevenson, MD

Individual provider Pediatrics Physician · NPI 1245326065

Dr. Kenneth Edward Stevenson, MD is a Pediatric Medicine in Ogden, Utah. Graduated from Saint Louis University School of Medicine in 1995, 31 years ago. Licensed in Utah.

Years since qualifying
31
Trained at
Saint Louis University School of Medicine
Licensed in
UT
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5405 S 500 E Ste 205
Ogden, UT 84405-7420
Phone: (801) 479-0174
Fax: (801) 479-8888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 378676-1205 (UT)

Record details

NPI number1245326065
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 5, 2006
Last updated in NPPESApril 19, 2023
Certification dateApril 19, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1995 (31 years in practice)
Accepts Medicare assignment Not indicated

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