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

Individual provider Pediatrics Physician · NPI 1093235400

Kathryne Wales Stephenson, DNPCPNP is a Nurse Practitioner in Indianapolis, Indiana. Qualified in 2017, 9 years ago. Licensed in Indiana.

Years since qualifying
9
Licensed in
IN
In the registry since
2017
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Practice location Address checks out

8101 Clearvista Pkwy Ste 185
Indianapolis, IN 46256-5605
Phone: (317) 621-9000
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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 28177321A (IN)

Record details

NPI number1093235400
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNPCPNP
Sole proprietorNo
NPI enumeratedJune 27, 2017
Last updated in NPPESJuly 21, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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