Individual
KEVIN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1808 GLENMAR AVE, MONROE, LA 71201-4932
(318) 327-5344
Mailing address
1808 GLENMAR AVE, MONROE, LA 71201-4932
(318) 327-5344
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN159109
LA
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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