Individual
KENNETH STEWART
Active
Individual
KENNETH STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
91-318
NM
207Q00000X
Family Medicine Physician
91-318
NM
261QI0500X
Infusion Therapy Clinic/Center
Primary
91-318
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000R7779
—
NM
05
—
416182
—
AZ
Enumeration date
03/28/2006
Last updated
09/04/2024
Update your record
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