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NPI Code Detail

MEDICARE: KATHLEEN STEWARD R.N.

MEDICARE: KATHLEEN STEWARD R.N.
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
1163WS0200XSchool Registered Nurse266613-1NY

General Provider Information

NPI Number : 1023312287
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN STEWARD R.N.
Provider Business Mailing Address
First Line : 13 SCHOOL ST
Second Line :
City : SHERBURNE
State : NY
Zip : 13460-9505
Country : US
Telephone Number : 607-674-7314
Fax Number :
Provider Business Practice Location Address
First Line : 13 SCHOOL ST
Second Line :
City : SHERBURNE
State : NY
Zip : 13460-9505
Country : US
Telephone Number : 607-674-7314
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2011
Last Update Date : 01/03/2011

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