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Individual

MRS. STACY ANNE KUHL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP - BC

Contact information

Practice address
1580 N 2ND ST, EL CAJON, CA 92021-3447
(619) 993-8996
Mailing address
1580 N 2ND ST, EL CAJON, CA 92021-3447
(619) 993-8996

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95004992
CA
363LG0600X
Gerontology Nurse Practitioner
95004992
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
95004992
CALIFORNIA BOARD OF REGISTERED NURSING
CA
Enumeration date
01/11/2017
Last updated
01/11/2017
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