| Stacey Hall | |
|
1715 E Cedar St Suite 115 Olathe KS 66062-1891 | |
| (816) 977-3178 | |
| (816) 572-6838 |
| Full Name | Stacey Hall |
|---|---|
| Speciality | Specialist |
| Location | 1715 E Cedar St, Olathe, Kansas |
| Authorized Official Name and Position | Stacey Hall (OWNER) |
| Authorized Official Contact | 8169773178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Hall 1715 E Cedar St Suite 115 Olathe KS 66062-1891 Ph: (816) 977-3178 | Stacey Hall 1715 E Cedar St Suite 115 Olathe KS 66062-1891 Ph: (816) 977-3178 |
| NPI Number | 1366671828 |
|---|---|
| Provider Enumeration Date | 07/06/2009 |
| Last Update Date | 05/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366671828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3935 (Kansas) | Secondary |
| 174400000X | Specialist | 4008 (Kansas) | Primary |
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