Individual
KAMI STUCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2801 NW 79TH AVE, MIAMI, FL 33122-1174
(786) 466-1000
Mailing address
2520 NW 84TH AVE APT 301, DORAL, FL 33122-1541
(786) 857-7124
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9403034
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
132139
FL
Other
Enumeration date
12/02/2020
Last updated
01/19/2022
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