Healthcare Provider Details

I. General information

NPI: 1366266397
Provider Name (Legal Business Name): MRS. KIMBERLY M STEWARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2024
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 MEREDITH DR
MUSCLE SHOALS AL
35661-1462
US

IV. Provider business mailing address

203 MEREDITH DR
MUSCLE SHOALS AL
35661-1462
US

V. Phone/Fax

Practice location:
  • Phone: 256-956-9070
  • Fax:
Mailing address:
  • Phone: 256-956-9070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: