Stacy Ann Kennedy in Mountain Home - Adult Health

Stacy Ann Kennedy - NPI 1720052616

Stacy Ann Kennedy is a Adult Health in Mountain Home, Arkansas. Stacy Ann Kennedy practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Stacy Ann Kennedy is 1720052616. The last update date is 2023-03-07.

Stacy Ann Kennedy's current location address is 3 Medical Plz, Mountain Home, Arkansas. You can contact this provider via phone number 8704243400 and fax number 8704244121. The mailing address for Stacy Ann Kennedy is 3 Medical Plz, Mountain Home, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Stacy Ann Kennedy
Address 3 Medical Plz, Mountain Home, Arkansas
Phone Number 8704243400
Fax Number 8704244121
Sole Proprietor N
Credentials A.P.N.

NPI Number Detail

NPI Number 1720052616
Provider Enumeration Date 2006-02-15
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 3 Medical Plz
City Mountain Home
State Arkansas (AR)
Post Code 726532918
Phone Number 8704243400
Fax Number 8704244121

Provider's Primary Taxonomy Detail

Speciality Adult Health
Taxonomy 363La2200X
Licence No A003832
Definition:
An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
SV086 AR BCBS

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FAQs about Stacy Ann Kennedy

What is the unique identification code assigned to Stacy Ann Kennedy by the Centers for Medicare & Medicaid Services?

The Stacy Ann Kennedy has been issued the NPI (National Provider Identifier) 1720052616. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Stacy Ann Kennedy's facilities are geographically located?

The facilities of Stacy Ann Kennedy are physically situated at the following location: 3 Medical Plz, Mountain Home, AR, 726532918.

What is Stacy Ann Kennedy's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Stacy Ann Kennedy is Adult Health, and the corresponding taxonomy classification code for this specialized field is 363La2200X.

On what date did the Centers for Medicare & Medicaid Services issue the 1720052616 to Stacy Ann Kennedy?

The Stacy Ann Kennedy received its 1720052616 assignment from the Centers for Medicare & Medicaid Services on 2006-02-15.

When was the information regarding Stacy Ann Kennedy, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Stacy Ann Kennedy, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-03-07.

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