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Individual
KIM CRAWFORD STEWART
Active
Individual
KIM CRAWFORD STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO, PHD
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2024-02855
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2019
Last updated
10/13/2024
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