Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251E1200X | Ergonomics | 369 | ND |
Y | 225XE1200X | Ergonomics | 369 | ND |
NPI | 1811049950 |
---|---|
Provider Name | Mrs. Kimberly Ann Stewart |
First Address | Bismarck, ND 58504 |
Second Address | Bismarck, ND 58504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2007 |
Last Update Date | 08/07/2007 |