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1255529012
LISA R STUCKEY
KINSLEY, KS
NPI
1255529012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: KS 1501228)
Enumeration Date
2007-10-05
Last Update Date
2022-10-04
Business Address
LISA R STUCKEY PA-C
620 W 8TH ST
KINSLEY, KS 67547-2329
Phone number: 620-659-3621
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Mailing Address
LISA R STUCKEY PA-C
PO BOX 99
KINSLEY, KS 67547-0099
Phone number: 620-659-3651
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