Stewart, Donald Kenneth

Stewart, Donald Kenneth is an individual health care provider with primary practice located at 100 Medical Center Dr , Paducah KY 42003. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Stewart, Donald Kenneth can be contacted via phone (270) 442-1024.

Contact Information

Primary practice address
100 Medical Center Dr Paducah KY 42003
Phone: (270) 442-1024
Fax: (270) 442-1001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 105A Kentucky

Profile Details

NPI number 1124013800
LBN Legal business name Stewart, Donald Kenneth
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Apr 4th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124013800 NPPES
Kentucky MEDICAID 74240185
Kentucky Other 00000035277
Kentucky Other P00158032
Kentucky MEDICAID 2605018000

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