Individual
LISA R STUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
620 W 8TH ST, KINSLEY, KS 67547-2329
(620) 659-3621
(620) 659-3810
Mailing address
PO BOX 99, KINSLEY, KS 67547-0099
(620) 659-3651
(620) 659-3869
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1501228
KS
Other
Enumeration date
10/05/2007
Last updated
10/04/2022
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