Forrestt, Stacy A.

Forrestt, Stacy A. is an individual health care provider with primary practice located at 9100 W. 74Th Street , Shawnee Mission KS 66204-4004. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Forrestt, Stacy A. can be contacted via phone (913) 676-2679.

Contact Information

Primary practice address
9100 W. 74Th Street Shawnee Mission KS 66204-4004
Phone: (913) 676-2679
Fax: (913) 789-3191
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA003020L Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1501310 Kansas

Profile Details

NPI number 1881702298
LBN Legal business name Forrestt, Stacy A.
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2006
Last updated Nov 24th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881702298 NPPES
Kansas Other 42508017 BCBS KC
Kansas MEDICAID 200623680A BCBS KC
Kansas Other P00765509 BCBS KC

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