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Individual

DR. CHRISTOPHER DALE STEWARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
212 BROADWAY, CAVE CITY, KY 42127
(270) 773-2250
(270) 773-4720
Mailing address
P.O. BOX 336, 212 BROADWAY, CAVE CITY, KY 42127
(270) 773-2250
(270) 773-4720

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5322
KY
363LF0000X
Family Nurse Practitioner
6036P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
60053220
KY
Enumeration date
01/29/2007
Last updated
06/16/2009
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