Kendra K Stacey (NPI# 1124014790, PAC ID# 7517001555) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1124014790 |
PAC ID by PECOS | 7517001555 |
Professional Enrollment ID | I20100215000570 |
Full Name | Kendra K Stacey |
Organization Legal Name | COMANCHE COUNTY HEALTHCARE CORPORATION |
Address |
823 D St Snyder OK 73566-2031 |
Phone Number | 5805692373 |
Gender | F |
Graduation Year | 1987 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 0749192433 |
Number of Group Practice Members | 70 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
370056 | COMANCHE COUNTY MEMORIAL HOSPITAL |
Address | Phone | Organization |
---|---|---|
3401 W Gore Blvd, Heart and Vascular, Lawton, OK 73505-6332 | 5805855565 | COMANCHE COUNTY HOSPITAL AUTHORITY |
823 D St, Snyder, OK 73566-2031 | 5805692373 | COMANCHE COUNTY HEALTHCARE CORPORATION |
Organization Legal Name | COMANCHE COUNTY HEALTHCARE CORPORATION |
Physicians | 89 |
Name | Specialty | Organization | Address |
---|---|---|---|
Angelia Marie Liming | Nurse Practitioner | Comanche County Healthcare Corporation | 901 Sw Goodyear Blvd, Lawton, OK 73505-9755 |
Christopher S Bartlett | Physician Assistant | Comanche County Healthcare Corporation | 3811 W Gore Blvd, Lawton, OK 73505-6328 |
Sheryl Denton | Nurse Practitioner | Comanche County Healthcare Corporation | 1102 S Coblake St, Apache, OK 73006-8337 |
Jennifer K Gilbow | Nurse Practitioner | Comanche County Healthcare Corporation | 110 Nw 31st St, Fl 2, Lawton, OK 73505-6100 |
Gregory Joslin | Obstetrics/gynecology | Comanche County Healthcare Corporation | 102 Nw 31st St, Lawton, OK 73505-6100 |
Kelly Coon | Internal Medicine | Comanche County Healthcare Corporation | 3401 Nw Gore Blvd, Lawton, OK 73505-6332 |
Chao-ling Wu | Hospitalist | Comanche County Healthcare Corporation | 3401 Nw Gore Blvd, Lawton, OK 73505-6332 |
Jacqueline Ann Yarbrough | Nurse Practitioner | Comanche County Healthcare Corporation | 3201 W Gore Blvd, Suite 201, Lawton, OK 73505-6350 |
Donald Weese | Urology | Comanche County Healthcare Corporation | 3201 W Gore Blvd, Suite 201, Lawton, OK 73505-6350 |
Kelly Stratton | Urology | Comanche County Healthcare Corporation | 3201 W Gore Blvd, Suite 201, Lawton, OK 73505-6350 |
Street Address |
823 D ST |
City | SNYDER |
State | OK |
Zip | 73566-2031 |
City | SNYDER |
Zip Code | 73566 |
Specialty | NURSE PRACTITIONER |
City + Specialty | SNYDER + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.