Individual
MRS. KATHRYN G STANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
403 MEMORIAL BLVD, PICAYUNE, MS 39466-5545
(601) 799-2225
(601) 799-4333
Mailing address
403 MEMORIAL BLVD, PICAYUNE, MS 39466-5545
(601) 799-2225
(601) 799-4333
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
774
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00117708
—
MS
Enumeration date
12/22/2005
Last updated
01/16/2014
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