Provider Demographics
NPI:1619907243
Name:STEWART, KAREN KUROWSKI (AUD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:KUROWSKI
Last Name:STEWART
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9021 WHITEWORTH LOOP
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78749-3657
Mailing Address - Country:US
Mailing Address - Phone:512-389-6522
Mailing Address - Fax:512-389-6559
Practice Address - Street 1:2901 MONTOPOLIS DR
Practice Address - Street 2:AUSTIN OUTPATIENT CLINC
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78741-6411
Practice Address - Country:US
Practice Address - Phone:512-389-6505
Practice Address - Fax:512-389-6559
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51279231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX51279OtherSTATE LICENSED AUDIOLOGIS