Healthcare Provider Details

I. General information

NPI: 1497987937
Provider Name (Legal Business Name): KATHRYN E STEWART L.M.T., R.C.S.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2009
Last Update Date: 01/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2816 SOUTHVIEW DR
LEXINGTON KY
40503-2815
US

IV. Provider business mailing address

2816 SOUTHVIEW DR
LEXINGTON KY
40503-2815
US

V. Phone/Fax

Practice location:
  • Phone: 859-552-7267
  • Fax: 859-276-0224
Mailing address:
  • Phone: 859-552-7267
  • Fax: 859-276-0224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number0271
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: