Individual
MRS. KATHRYN ELIZABETH STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3580 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1717
(703) 970-6464
Mailing address
3580 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1717
(248) 842-8816
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-12586
NC
363A00000X
Physician Assistant
Primary
0110009210
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/09/2022
Last updated
06/05/2023
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