Healthcare Provider Details

I. General information

NPI: 1992777213
Provider Name (Legal Business Name): DONNA MACLAIN STEWART M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 10/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

OFFICE OF THE CHIEF MEDICAL EXAMINER;URBAN GOVERNMENT C 810 BARRET AVE
LOUISVILLE KY
40204
US

IV. Provider business mailing address

810 BARRET AVE OFFICE OF THE CHIEF MEDICAL EXAMINER
LOUISVILLE KY
40204
US

V. Phone/Fax

Practice location:
  • Phone: 502-852-5587
  • Fax: 502-852-1767
Mailing address:
  • Phone: 502-852-5587
  • Fax: 502-852-1767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZF0201X
TaxonomyForensic Pathology Physician
License Number28901
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: