Stack, Kathleen Marie

Stack, Kathleen Marie is an individual health care provider with primary practice located at 576 Jefferson Ave Mcdonald Army Health Center, Ft Eustis VA 23604-5548. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Stack, Kathleen Marie can be contacted via phone (757) 344-6921.

Contact Information

Primary practice address
576 Jefferson Ave Mcdonald Army Health Center Ft Eustis VA 23604-5548
Phone: (757) 344-6921
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101044295 Virginia
Allopathic & Osteopathic Physicians / Addiction Psychiatry 2084P0802X 0101044295 Virginia

Profile Details

NPI number 1902866718
LBN Legal business name Stack, Kathleen Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jan 10th, 2013 - about 13 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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