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NPI Profile for STACY L KENNIGSEDER in FORT SMITH, AR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Critical Care Medicine |
163WC0200X |
| NPI # | 1396288734 |
|
| Status | Active | |
| Credentials | RN (Registered Nurse) | |
| Entity | Individual | |
| Enumeration date | 12/01/2016 | |
| Last updated | 12/01/2016 - About 10 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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STACY L KENNIGSEDER
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STACY L KENNIGSEDER, RN