Individual
KYLE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2307 S HIGHWAY 53, LA GRANGE, KY 40031-8568
(150) 222-5627
(502) 225-6278
Mailing address
PO BOX 950293, LOUISVILLE, KY 40295-0293
(188) 898-7187
(405) 792-8910
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
56960
KY
Other
Enumeration date
06/02/2017
Last updated
06/28/2022
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