Kenneth L Stewart, Phd, Ltd

LBN: Kenneth L Stewart, Phd, Ltd
Kenneth L Stewart, Phd, Ltd is an health care organization with primary practice located at 11812 Wayzata Blvd Suite 120, Minnetonka MN 55305-2012. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Kenneth L Stewart, Phd, Ltd can be contacted via phone (612) 868-0366, or through Stewart, Kenneth Lyle via phone (612) 868-0366.

Contact Information

Primary practice address
11812 Wayzata Blvd Suite 120 Minnetonka MN 55305-2012
Phone: (612) 868-0366
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stewart, Kenneth Lyle PHD, LP, LMFT
Phone: (612) 868-0366

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X LP2948 Minnesota

Profile Details

NPI number 1538466784
LBN Legal business name Kenneth L Stewart, Phd, Ltd
DBA Doing business as
Authorized official Stewart, Kenneth Lyle PHD, LP, LMFT
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2011
Last updated Feb 24th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538466784 NPPES
Minnesota MEDICAID 945315600

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