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1124013800
DONALD KENNETH STEWART
PADUCAH, KY
NPI
1124013800
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: KY 105A)
Enumeration Date
2005-09-19
Last Update Date
2008-04-04
Business Address
-- DONALD KENNETH STEWART CRNA
100 MEDICAL CENTER DR
PADUCAH, KY 42003
Phone number: 270-442-1024
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Mailing Address
-- DONALD KENNETH STEWART CRNA
245 HIGH POINTE DR
PADUCAH, KY 42003-8819
Phone number: 270-554-5725
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