Provider Demographics
NPI:1598837114
Name:STEWART, KAY G (DC18656)
Entity Type:Individual
Prefix:
First Name:KAY
Middle Name:G
Last Name:STEWART
Suffix:
Gender:F
Credentials:DC18656
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 MONTGOMERY ST
Mailing Address - Street 2:# 1100
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104
Mailing Address - Country:US
Mailing Address - Phone:415-982-4422
Mailing Address - Fax:415-982-0818
Practice Address - Street 1:400 MONTGOMERY ST
Practice Address - Street 2:# 1100
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104
Practice Address - Country:US
Practice Address - Phone:415-982-4422
Practice Address - Fax:415-982-0818
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC18656111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor