MEDICARE: KIARA R STUART

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
1	246RP1900X	Phlebotomy Technician	X4S5G2Q4	NY

General Provider Information

NPI Number	:	1770434748
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIARA R STUART

Provider Business Mailing Address
First Line	:	29 POOLE AVE
Second Line	:
City	:	GLOVERSVILLE
State	:	NY
Zip	:	12078-1947
Country	:	US
Telephone Number	:	518-921-5936
Fax Number	:	838-217-6860

Provider Business Practice Location Address
First Line	:	29 POOLE AVE
Second Line	:
City	:	GLOVERSVILLE
State	:	NY
Zip	:	12078-1947
Country	:	US
Telephone Number	:	518-921-5936
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	06/10/2026

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Directions to “ KIARA R STUART ” Practice Location

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