Individual
STACY M TALUSKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
101 MEDICAL HEIGHTS DR, SUITE M, FRANKFORT, KY 40601-4137
(502) 227-7538
(502) 227-9248
Mailing address
101 MEDICAL HEIGHTS DR, SUITE M, FRANKFORT, KY 40601-4137
(502) 227-7538
(502) 227-9248
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA703
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000352734
ANTHEM
KY
05
—
95005260
—
KY
01
—
C30629
RAILROAD MEDICARE
KY
Enumeration date
06/09/2006
Last updated
02/26/2008
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