Individual
MRS. KELSEY LOFGREN STANKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP-PC
Contact information
Practice address
4600 WATERS AVE STE 100, SAVANNAH, GA 31404-6274
(912) 355-2462
Mailing address
4600 WATERS AVE STE 100, SAVANNAH, GA 31404-6274
(912) 355-2462
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25413
SC
363LP0200X
Pediatric Nurse Practitioner
Primary
250178
GA
Other
Enumeration date
03/29/2019
Last updated
03/31/2022
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