Individual
STACY REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9393 W 110TH ST STE 500527, OVERLAND PARK, KS 66210-1442
(913) 800-6971
(855) 845-1844
Mailing address
4200 LITTLE BLUE PKWY STE 320, INDEPENDENCE, MO 64057-8324
(816) 867-4140
(913) 839-4197
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
45616
KS
363LF0000X
Family Nurse Practitioner
45616
KS
Other
Enumeration date
03/17/2006
Last updated
01/07/2020
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