Individual
JEREMY WAYNE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT DEPARTMENT, KANSAS CITY, MO 64108-4619
(816) 701-5200
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2020020735
MO
208000000X
Pediatrics Physician
S5506
TX
2080P0206X
Pediatric Gastroenterology Physician
Primary
S5506
TX
Other
Enumeration date
03/23/2017
Last updated
07/19/2023
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