Individual
KATHLEEN STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1650 COWLES ST, GOLDEN HEART EMERGENCY PHYSICIANS, FAIRBANKS, AK 99701-5999
(907) 452-8181
Mailing address
4920 DALE RD, FAIRBANKS, AK 99709-4409
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
11/09/2013
Last updated
11/09/2013
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