Provider Demographics
NPI:1013908557
Name:STEWART, JANE E (DO)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:E
Last Name:STEWART
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:10540 MARTY ST
Mailing Address - Street 2:STE 100
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-2551
Mailing Address - Country:US
Mailing Address - Phone:913-660-1616
Mailing Address - Fax:913-660-1664
Practice Address - Street 1:8929 PARALLEL PKWY
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66112-1689
Practice Address - Country:US
Practice Address - Phone:913-660-1616
Practice Address - Fax:913-660-1664
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2024-10-18
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Provider Licenses
StateLicense IDTaxonomies
MO2013043105208M00000X
KS05-31090207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOG79665Medicare UPIN