Kirkland, Stacey

Kirkland, Stacey is an individual health care provider with primary practice located at 1030 W 24Th St , Yuma AZ 85364. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kirkland, Stacey can be contacted via phone (928) 344-4325.

Contact Information

Primary practice address
1030 W 24Th St Yuma AZ 85364
Fax: (928) 343-3084
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 281 Arizona

Profile Details

NPI number 1942236054
LBN Legal business name Kirkland, Stacey
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Dec 6th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942236054 NPPES
Arizona MEDICAID 589880

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