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Individual
STACY BANKSTON KALCH
Active
Individual
STACY BANKSTON KALCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN131694
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F0708450
NURSE PRACTIOINER CERTIFICATION NUMBER
GA
Enumeration date
08/04/2008
Last updated
09/13/2019
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