Individual
DR. KENNETH THOMAS STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
2471 JACKSON AVE, MEMPHIS, TN 38108-3318
(901) 454-1615
(901) 454-4908
Mailing address
2471 JACKSON AVE, MEMPHIS, TN 38108-3318
(901) 454-1615
(901) 454-4908
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
C540
TN
Other
Enumeration date
07/21/2010
Last updated
07/21/2010
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