Stewart, Kendall L

Stewart, Kendall L is an individual health care provider with primary practice located at 1835 Oakland Ave Mob-B, Suite 101, Portsmouth OH 45662-2913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Stewart, Kendall L can be contacted via phone (740) 354-8684.

Contact Information

Primary practice address
1835 Oakland Ave Mob-B, Suite 101 Portsmouth OH 45662-2913
Fax: (740) 354-1168
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35046614 Ohio

Profile Details

NPI number 1215014550
LBN Legal business name Stewart, Kendall L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 17 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 1215014550 NPPES
Ohio MEDICAID 0486433
Ohio MEDICAID 64217870

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