Individual
KATRINA STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
435 25TH ST NW, CLEVELAND, TN 37311-3838
(423) 479-9733
Mailing address
435 25TH ST NW, CLEVELAND, TN 37311-3838
(423) 479-9733
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
57946
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/19/2015
Last updated
12/27/2018
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