Individual
STACIE BURNETT CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8500
(913) 588-3839
(913) 588-6055
Mailing address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8500
(913) 588-3839
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
94-09913
KS
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
0445816
KS
Other
Enumeration date
04/02/2019
Last updated
09/17/2025
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