Stallard, Karen

Stallard, Karen is an individual health care provider with primary practice located at 323 Cloverleaf Sq #1, Big Stone Gap VA 24219-2760. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Stallard, Karen can be contacted via phone (276) 523-6715.

Contact Information

Primary practice address
323 Cloverleaf Sq #1 Big Stone Gap VA 24219-2760
Phone: (276) 523-6715
Fax: (276) 523-6715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP0024107007 Virginia

Profile Details

NPI number 1154339869
LBN Legal business name Stallard, Karen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Oct 22nd, 2012 - about 12 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 1154339869 NPPES
Kentucky MEDICAID 78004983
Kentucky MEDICAID 007786409

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