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
ZIP Code
62221-7116
Phone
(618) 257-3090

Specialties & Taxonomy Codes

Specialty
Non-emergency Medical Transport (VAN)

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