Kisor, Stacy Nicole

Kisor, Stacy Nicole is an sole proprietor health care provider with primary practice located at 5516 S Fort Apache Rd Ste 130 , Las Vegas NV 89148-7679. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Kisor, Stacy Nicole can be contacted via phone (702) 641-8255.

Contact Information

Primary practice address
5516 S Fort Apache Rd Ste 130 Las Vegas NV 89148-7679
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SI 60298212 Washington

Profile Details

NPI number 1770829061
LBN Legal business name Kisor, Stacy Nicole
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2012
Last updated Feb 26th, 2020 - about 6 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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