Provider Demographics
NPI:1366403263
Name:LEMONS, STEPHEN F (MD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:F
Last Name:LEMONS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:STEPHEN
Other - Middle Name:FRANKLIN
Other - Last Name:LEMONS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:308 E CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:KS
Mailing Address - Zip Code:67002-8897
Mailing Address - Country:US
Mailing Address - Phone:316-733-1331
Mailing Address - Fax:316-733-4916
Practice Address - Street 1:308 E CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:KS
Practice Address - Zip Code:67002-8897
Practice Address - Country:US
Practice Address - Phone:316-733-1331
Practice Address - Fax:316-733-4916
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-20165207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSPENDINGMedicaid
B69229Medicare UPIN
KS003719225Medicare PIN