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Individual

CATHERINE STACKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5000 KY ROUTE 321, PRESTONSBURG, KY 41653-9113
(606) 886-7645
Mailing address
10 MARQUIS DR, HUNTINGTON, WV 25705-3713

Taxonomy

Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
56958
KY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/26/2019
Last updated
06/28/2023
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