| NPI | 1548731458 |
|---|---|
| Other Name | STEWART HOME & SCHOOL, LLC |
| Entity Type | Organization |
| Authorized Contact | STEPHEN ROBERT RANDOLPH COO 502-783-2349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2022-05-18 |