Kennedy, Stacy Jo
Kennedy, Stacy Jo is an sole proprietor health care provider with primary practice located at 191 Overthrust Rd , Evanston WY 82930-9261. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kennedy, Stacy Jo can be contacted via phone (307) 789-8721.Contact Information
Primary practice address
191 Overthrust Rd
Evanston WY 82930-9261
Phone: (307) 789-8721
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 30260.1816 | Wyoming |
Profile Details
| NPI number | 1669947610 |
|---|---|
| LBN Legal business name | Kennedy, Stacy Jo |
| Credentials | FNP- BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2018 |
| Last updated | Jun 24th, 2019 - about 6 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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