Individual
STACIE KNOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2501 KENTUCKY AVE, PADUCAH, KY 42003-3813
(270) 575-2100
Mailing address
425 LEWIS HARGETT CIR, LEXINGTON, KY 40503-3590
(859) 268-1030
(859) 269-4120
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1154372
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
4005910
KY
Other
Enumeration date
05/02/2023
Last updated
06/19/2023
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