Individual
STACY JO KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP- BC
Contact information
Practice address
1453A DEWAR DR, ROCK SPRINGS, WY 82901-5812
(307) 382-2466
(888) 395-0359
Mailing address
249 DOUGLAS DR, ROCK SPRINGS, WY 82901-3148
(307) 371-1601
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
30260.1816
WY
Other
Enumeration date
10/05/2018
Last updated
10/01/2024
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