Individual
KATHLEEN R STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LRD
Contact information
Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-7000
Mailing address
PO BOX 997, BISMARCK, ND 58502-0997
(701) 530-7000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
331
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452929
—
ND
01
—
P00010400
RR MEDICARE
ND
Enumeration date
02/16/2007
Last updated
07/08/2016
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