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

Kiley Ann Stevenson-Stalker, PA-C

Individual provider Medical Physician Assistant · NPI 1902363716

Kiley Ann Stevenson-Stalker, PA-C is a Physician Assistant in Holland, Ohio. Qualified in 2018, 8 years ago. Practices with Bravia Dermatology Group LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2019
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

7050 Spring Mdws Dr W
Holland, OH 43528-7203
Phone: (419) 948-3376
Fax: (419) 665-3632
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 50.005921RX (OH)

Record details

NPI number1902363716
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 28, 2019
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Bravia Dermatology Group Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare