Individual
GABRIEL STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1004 PROGRESS DR STE 180&145, LANSING, KS 66043-6326
(913) 297-3215
(913) 297-2732
Mailing address
800 RAVENHILL DR, ATCHISON, KS 66002-9204
(913) 367-2131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
94-10188
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10028483900
—
NE
01
—
16289121
PTAN
KS
05
—
200155943
—
MO
05
—
30004717160003
—
KS
Enumeration date
05/08/2020
Last updated
03/27/2026
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