Provider Demographics
NPI:1356600969
Name:KAPPA, STEPHEN FREDERICK (MD, MBA)
Entity type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:FREDERICK
Last Name:KAPPA
Suffix:
Gender:M
Credentials:MD, MBA
Other - Prefix:
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Mailing Address - Street 1:2000 JOSEPH E SANKER BLVD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45212-1979
Mailing Address - Country:US
Mailing Address - Phone:513-841-7404
Mailing Address - Fax:513-841-7402
Practice Address - Street 1:925 DEIS DR
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-8130
Practice Address - Country:US
Practice Address - Phone:513-841-7410
Practice Address - Fax:513-841-7901
Is Sole Proprietor?:No
Enumeration Date:2012-05-16
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
OH35131499208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program