Stewart, Edna Eugenia

Stewart, Edna Eugenia is an individual health care provider with primary practice located at 39 Cumberland Gap Plaza , Gray KY 40734-1401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Stewart, Edna Eugenia can be contacted via phone (606) 526-9005.

Contact Information

Primary practice address
39 Cumberland Gap Plaza Gray KY 40734-1401
Fax: (606) 526-8606
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3002563 Kentucky

Profile Details

NPI number 1205905254
LBN Legal business name Stewart, Edna Eugenia
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Oct 7th, 2011 - about 15 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 1205905254 NPPES
Kentucky MEDICAID 78256302

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