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NPI Code Detail

MEDICARE: KAITYLN STEWART

MEDICARE:   KAITYLN  STEWART
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
13747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1992669295
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITYLN STEWART
Provider Business Mailing Address
First Line : 67 WOODLAWN AVE
Second Line :
City : BELPRE
State : OH
Zip : 45714-9201
Country : US
Telephone Number : 304-242-8404
Fax Number :
Provider Business Practice Location Address
First Line : 415 36TH ST STE 200
Second Line :
City : PARKERSBURG
State : WV
Zip : 26101-1005
Country : US
Telephone Number : 304-242-8404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2025
Last Update Date : 12/11/2025

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Directions to “ KAITYLN STEWART ” Practice Location

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