Kendra K Stacey in Lawton - Obstetrics & Gynecology

Kendra K Stacey - NPI 1124014790

Kendra K Stacey is a Obstetrics & Gynecology in Lawton, Oklahoma. Kendra K Stacey practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Kendra K Stacey is 1124014790. The last update date is 2008-02-12.

Kendra K Stacey's current location address is Po Box 785, Lawton, Oklahoma. You can contact this provider via phone number 5803579984 and fax number 5803573277. The mailing address for Kendra K Stacey is Po Box 785, Lawton, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Name Kendra K Stacey
Address Po Box 785, Lawton, Oklahoma
Phone Number 5803579984
Fax Number 5803573277
Sole Proprietor N
Credentials ARNP

NPI Number Detail

NPI Number 1124014790
Provider Enumeration Date 2005-09-20
Last Updated Date 2008-02-12

Provider Mailing Address Detail

Address Po Box 785
City Lawton
State Oklahoma (OK)
Post Code 73502
Phone Number 5803579984
Fax Number 5803573277

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 363Lx0001X
Licence No R0052337
Definition:
An advanced practice registered nurse expert in healthcare services related to the female reproductive system across the lifespan.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7591256 OK AETNA
628427054001 OK BCBS-FREDERICK

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FAQs about Kendra K Stacey

What is the Kendra K Stacey's 1124014790?

The Kendra K Stacey's NPI (National Provider Identifier) Number is 1124014790. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Kendra K Stacey is physically located?

The Kendra K Stacey is physically situated at the following address: Po Box 785, Lawton, OK, 73502.

What is Kendra K Stacey's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Kendra K Stacey's specialized field of practice is Obstetrics & Gynecology, and the corresponding taxonomy code that categorizes this area of specialization is 363Lx0001X.

On what date was the 1124014790 assigned to Kendra K Stacey?

The Kendra K Stacey was issued its 1124014790 on 2005-09-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Kendra K Stacey most recently updated or revised?

The details related to Kendra K Stacey, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-12.

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