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NPI Code Detail

MEDICARE: MR. EDWARD STEWART II MSW

MEDICARE: MR. EDWARD STEWART II MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2101YM0800XMental Health Counselor101YMO800KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851712897
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. EDWARD STEWART II MSW
Provider Business Mailing Address
First Line : 3479 BUCKHORN DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40515-1114
Country : US
Telephone Number : 859-246-7282
Fax Number : 859-273-2184
Provider Business Practice Location Address
First Line : 3479 BUCKHORN DR
Second Line :
City : LEXINGTON
State : KY
Zip : 40515-1114
Country : US
Telephone Number : 859-246-7282
Fax Number : 859-273-2184
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2013
Last Update Date : 02/19/2014

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