Stewart, Kenneth
Stewart, Kenneth is an sole proprietor health care provider with primary practice located at 1640 Old Pecos Trl Ste E , Santa Fe NM 87505-4777. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Infusion Therapy. Ambulatory Health Care Facilities / Infusion Therapy is his primary health care specialty. Stewart, Kenneth can be contacted via phone (505) 670-9778.Contact Information
Primary practice address
1640 Old Pecos Trl Ste E
Santa Fe NM 87505-4777
Phone: (505) 670-9778
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 91-318 | New Mexico |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 91-318 | New Mexico |
| Ambulatory Health Care Facilities / Infusion Therapy | 261QI0500X | 91-318 | New Mexico |
Profile Details
| NPI number | 1811958150 |
|---|---|
| LBN Legal business name | Stewart, Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Sep 4th, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811958150 | NPPES |
| Arizona | MEDICAID | 416182 | |
| Arizona | MEDICAID | 000R7779 |
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