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Contact Information

KARA N STACKHOUSE
11050 PARKVIEW PLAZA DRIVE
FORT WAYNE, IN46845
 Phone: 833-724-8326
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KARA N STACKHOUSE · (Female)

NPI # 1043703903
Status Active
Credentials
Entity Individual
Enumeration date 06/14/2018
Last updated 10/11/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 71008099A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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