Individual
KENNETH STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3877 HWY 70 SO SERVICE RD, #12, ST PETERS, MO 63376
(636) 447-3944
Mailing address
3877 HWY 70 SO SERVICE RD, #12, ST PETERS, MO 63376
(636) 447-3944
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4089
MO
Other
Enumeration date
04/30/2007
Last updated
07/08/2007
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