Kathryn E Stack, MD
Kathryn E Stack, MD is an Anesthesiology in Old Lyme, Connecticut. Graduated from New York Medical College in 1992, 34 years ago. Practices with Northeast Medical Group Inc, a 1,360-clinician group and accepts Medicare assignment. Licensed in Connecticut.
- Years since qualifying
- 34
- Trained at
- New York Medical College
- Licensed in
- CT
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
15 Wood Crest DrOld Lyme, CT 06371-2840
Phone: (404) 932-9109
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Anesthesiology Physician (primary) | Taxonomy 207L00000X · Licence 57186 (CT) |
|---|
Record details
| NPI number | 1326081969 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 13, 2006 |
| Last updated in NPPES | December 23, 2021 |
| Certification date | December 23, 2021 |
| Mailing address | 15 Wood Crest Dr, Old Lyme, CT 06371-2840 |
Medicare enrollment
| Medicare specialty | ANESTHESIOLOGY |
|---|---|
| Medical school | NEW YORK MEDICAL COLLEGE |
| Graduated | 1992 (34 years in practice) |
| Group practice | Northeast Medical Group Inc — 1360 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |