MR. Kendall C Stacker
NPI #1831529239 in Belleville, Illinois
Provider Information
- NPI Number
- 1831529239
- Entity Type
- Individual
- Name
- MR. Kendall C Stacker
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Nov 21, 2013
- Last Updated
- Nov 21, 2013
Practice Location
- Address
- 2745 BROOKMEADOW DR
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62221-7116
- Phone
- (618) 257-3090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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