Individual provider Active NPI

W. Kenneth Stephens, M.D.

  • Pharmacist
  • Cincinnati, OH
National Provider Identifier
1033256805
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26012555 Issued in IN
Practice address
2751 O Varsity Way
Room 335, Lindner Athletic Center
Cincinnati, OH 45221-0010
Phone
(513) 556-2564
Fax
(513) 556-1337
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26012555 IN Primary
Sports Medicine (Preventive Medicine) Physician 2083S0010X 35038172 OH
Sports Medicine (Preventive Medicine) Physician 2083S0010X 01025457 IN
Occupational Medicine Physician 2083X0100X 35038172 OH
Occupational Medicine Physician 2083X0100X 01025457 IN
General Practice Physician 208D00000X 35038172 OH
General Practice Physician 208D00000X 01025457 IN

Addresses

Primary practice location

2751 O Varsity Way
Room 335, Lindner Athletic Center
Cincinnati, OH 45221-0010

Mailing address

2751 O Varsity Way
Room 335, Lindner Athletic Center
Cincinnati, OH 45221-0010
Phone (513) 556-2564

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26012555INMDPharmacist
35038172OHMDSports Medicine (Preventive Medicine) Physician
01025457INMDOccupational Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1033256805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2751 O VARSITY WAY",
            "address_2": "ROOM 335, LINDNER ATHLETIC CENTER",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452210010",
            "telephone_number": "513-556-2564",
            "fax_number": "513-556-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 O VARSITY WAY",
            "address_2": "ROOM 335, LINDNER ATHLETIC CENTER",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452210010",
            "telephone_number": "513-556-2564",
            "fax_number": "513-556-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "W. KENNETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26012555",
            "primary": true
        },
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "OH",
            "license": "35038172",
            "primary": false
        },
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "IN",
            "license": "01025457",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "OH",
            "license": "35038172",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IN",
            "license": "01025457",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OH",
            "license": "35038172",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01025457",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.