Individual
MR. KENNETH STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A. F-AAA
Contact information
Practice address
5933 E STATE BLVD, FORT WAYNE, IN 46815
(260) 485-1231
(260) 486-6958
Mailing address
5933 E STATE BLVD, FORT WAYNE, IN 46815-7636
(260) 485-1231
(260) 486-6958
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
23002245A
IN
Other
Enumeration date
02/21/2007
Last updated
07/17/2018
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