Stewart, Kenneth C.

Stewart, Kenneth C. is an individual health care provider with primary practice located at 1101 Jackson St Sw , Gravette AR 72736-9121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Stewart, Kenneth C. can be contacted via phone (479) 787-5291.

Contact Information

Primary practice address
1101 Jackson St Sw Gravette AR 72736-9121
Phone: (479) 787-5291
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2006005756 Missouri

Profile Details

NPI number 1245209501
LBN Legal business name Stewart, Kenneth C.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Apr 3rd, 2017 - about 9 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 1245209501 NPPES
Missouri MEDICAID 1245209501
Missouri MEDICAID 165354003

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