Stewart, Kenneth

Stewart, Kenneth is an individual health care provider with primary practice located at 901 W Alameda St 25, Santa Fe NM 87501-1681. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Stewart, Kenneth can be contacted via phone (505) 988-8869.

Contact Information

Primary practice address
901 W Alameda St 25 Santa Fe NM 87501-1681
Phone: (505) 988-8869
Fax: (505) 982-7321
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 91-318 New Mexico
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 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 No
Enumeration date Mar 28th, 2006
Last updated Dec 16th, 2015 - about 10 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 1811958150 NPPES
New Mexico MEDICAID 000R7779
New Mexico MEDICAID 416182

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