Stacy L Reynolds in Kansas City - Pediatrics
Stacy L Reynolds - NPI 1700839065
Stacy L Reynolds is a Pediatrics in Kansas City, Missouri. Stacy L Reynolds practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Stacy L Reynolds is 1700839065. The last update date is 2014-08-11.
Stacy L Reynolds's current location address is 2401 Gillham Rd, Kansas City, Missouri. You can contact this provider via phone number 8162343580. The mailing address for Stacy L Reynolds is 2401 Gillham Rd, Kansas City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy L Reynolds |
|---|---|
| Address | 2401 Gillham Rd, Kansas City, Missouri |
| Phone Number | 8162343580 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CPNP |
NPI Number Detail
| NPI Number | 1700839065 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2014-08-11 |
Provider Mailing Address Detail
| Address | 2401 Gillham Rd |
|---|---|
| City | Kansas City |
| State | Missouri (MO) |
| Post Code | 641084619 |
| Phone Number | 8162343580 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | 137580 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 425974607 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Stacy L Reynolds by the Centers for Medicare & Medicaid Services?
The Stacy L Reynolds has been issued the NPI (National Provider Identifier) 1700839065, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Stacy L Reynolds?
The Stacy L Reynolds is physically situated at 2401 Gillham Rd, in the city of Kansas City, state of MO, with the postal code 641084619.
What is Stacy L Reynolds's specialized field of practice, and what is the corresponding taxonomy classification code?
The Stacy L Reynolds's area of specialization is Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 363Lp0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700839065 to Stacy L Reynolds?
The Centers for Medicare & Medicaid Services originally issued the 1700839065 to Stacy L Reynolds on 2006-05-18.
When was the information related to Stacy L Reynolds most recently updated or refreshed?
The details pertaining to the Stacy L Reynolds, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-08-11.