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1124174198
STACEY WARING
LOUISVILLE, KY
NPI
1124174198
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Former Name
STACEY CONDRA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: KY 35865)
Enumeration Date
2007-01-25
Last Update Date
2020-12-10
Business Address
STACEY WARING MD
3950 KRESGE WAY SUITE 303
LOUISVILLE, KY 40207-4637
Phone number: 502-896-6696
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Mailing Address
STACEY WARING MD
PO BOX 950248
LOUISVILLE, KY 40295-0248
Phone number: 502-489-5730
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