Individual
KELLY STACKHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1201 15TH ST NW STE 410, WASHINGTON, DC 20005-2899
(914) 821-8993
Mailing address
3510 KEARNEY ST, DENVER, CO 80207-1320
(617) 538-4131
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
1634000
CO
Other
Enumeration date
04/01/2026
Last updated
04/01/2026
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