KIMBALL STACEY

LAWRENCE, KS
NPI1558537027
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: KS  04-19882)
Enumeration Date2008-05-05
Last Update Date2008-05-05
Business Address
-- KIMBALL STACEY
2014 STRATFORD RD
LAWRENCE, KS 66044-4542
Phone number: 785-842-1607
Mailing Address
-- KIMBALL STACEY
2014 STRATFORD RD
LAWRENCE, KS 66044-4542
Phone number:
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