Individual
DR. KYLE LESLIE STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 E FRANK PHILLIPS BLVD, SUITE 402, BARTLESVILLE, OK 74006-2440
(918) 335-1616
(918) 335-1617
Mailing address
3400 E FRANK PHILLIPS BLVD, SUITE 402, BARTLESVILLE, OK 74006-2440
(918) 335-1616
(918) 335-1617
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
11925
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100151970A
—
OK
01
—
100198620B
MEDICAID
KS
Enumeration date
08/24/2006
Last updated
08/04/2009
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