Individual
DR. KATHLEEN A STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1870 AMHERST ST, SUITE F, WINCHESTER, VA 22601-2873
(540) 662-1108
Mailing address
1870 AMHERST ST, SUITE F, WINCHESTER, VA 22601-2873
(540) 662-1108
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
0101053239
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0078452000
WV MEDICAID
WV
01
—
210244
BLUE CROSS BLUE SHIELD
VA
01
—
45-4759270
TAX ID
VA
05
—
6061711
—
VA
Enumeration date
06/15/2006
Last updated
11/28/2012
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