Tammy Lynn Stacy

NPI #1902117377 in Beattyville, Kentucky

Provider Information

NPI Number: 1902117377
Entity Type: Individual
Name: Tammy Lynn Stacy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jun 30, 2010
Last Updated: Jun 30, 2010

Practice Location

Address: 1060 GRAND AVENUE
City: Beattyville
State: Kentucky
ZIP Code: 41311
Phone: (606) 464-3212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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