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Individual
STEPHANIE SISK
Active
Individual
STEPHANIE SISK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
76421
KS
363L00000X
Nurse Practitioner
Primary
76421
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002261
MEDICARE
KS
05
—
201096930A
—
KS
Enumeration date
03/19/2014
Last updated
01/14/2025
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