STACY JO KENNEDY

EVANSTON, WY
NPI1669947610
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WY  30260.1816)
Enumeration Date2018-10-05
Last Update Date2019-06-24
Business Address
STACY JO KENNEDY FNP- BC
191 OVERTHRUST RD
EVANSTON, WY 82930-9261
Phone number: 307-789-8721
Mailing Address
STACY JO KENNEDY FNP- BC
249 DOUGLAS DR
ROCK SPRINGS, WY 82901-3148
Phone number: 307-371-1601
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