Stacey L Shadix, PA-C
NPI #1316015910 in Crestview Hills, Kentucky
Provider Information
- NPI Number
- 1316015910
- Entity Type
- Individual
- Name
- Stacey L Shadix, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Dec 1, 2006
- Last Updated
- Oct 16, 2008
Practice Location
- Address
- 2865 CHANCELLOR DR
- Address 2
- SUITE 225
- City
- Crestview Hills
- State
- Kentucky
- ZIP Code
- 41017-3912
- Phone
- (859) 341-5400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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