Healthcare Provider Details

I. General information

NPI: 1174221725
Provider Name (Legal Business Name): KAYLA MARIE STEWART DNP, APRN, DNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2023
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 N HOSPITAL DR
GIRARD KS
66743-2000
US

IV. Provider business mailing address

1624 S NATIONAL AVE
FORT SCOTT KS
66701-2645
US

V. Phone/Fax

Practice location:
  • Phone: 620-724-8291
  • Fax:
Mailing address:
  • Phone: 620-224-2627
  • Fax: 877-659-9920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5381962071
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number53-81962-071
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: