Individual
KELLY STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
711 N TAYLOR ST, GUNNISON, CO 81230-2208
(970) 641-1456
(970) 641-4461
Mailing address
711 N TAYLOR ST, GUNNISON, CO 81230-2208
(970) 641-1456
(970) 641-4461
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
DR.0068290
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2019
Last updated
05/09/2023
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