Kenneth Stewart, PHD, LP | |
3108 Hennepin Ave, Minneapolis, MN 55408-2619 | |
(612) 825-4407 | |
(612) 825-0768 |
Full Name | Kenneth Stewart |
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Gender | Male |
Speciality | Psychologist |
Location | 3108 Hennepin Ave, Minneapolis, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528165446 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 2948 (Minnesota) | Primary |
Entity Name | Kenneth L Stewart, Phd, Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538466784 PECOS PAC ID: 5597940247 Enrollment ID: O20110425000283 |
Mailing Address | Practice Location Address |
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Kenneth Stewart, PHD, LP 3108 Hennepin Ave, Minneapolis, MN 55408-2619 Ph: (612) 825-4407 | Kenneth Stewart, PHD, LP 3108 Hennepin Ave, Minneapolis, MN 55408-2619 Ph: (612) 825-4407 |
Shannon Marie Kehle, PH.D., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-467-1564 | |
Amanda Mulfinger, Psychologist Medicare: Medicare Enrolled Practice Location: 701 Park Ave S, Hennepin County Medical Center/revenue Management, Minneapolis, MN 55415 Phone: 612-873-3044 Fax: 612-630-8242 | |
Dr. Jennifer Rene Gozy, PSYD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 7601 Wayzata Blvd, Minneapolis, MN 55426 Phone: 612-223-8898 Fax: 612-223-8899 | |
Dr. Kristi E. White, PH.D., LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2700 E Lake St, Minneapolis, MN 55406 Phone: 612-873-6963 Fax: 612-276-0188 | |
Patricia Lynn Layton, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3033 Excelsior Blvd, Suite 565, Minneapolis, MN 55416 Phone: 612-926-8802 Fax: 612-926-8915 | |
Mary Melton, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 909 Fulton St Se, Building 2, Minneapolis, MN 55455 Phone: 612-672-7422 | |
Dr. Virginia Anne Mcdermott, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 825 Nicollet Mall, Suite 1630, Minneapolis, MN 55402 Phone: 612-673-9988 |