Mr. Kendall C Stacker
Mr. Kendall C Stacker is a Non-emergency Medical Transport (VAN) in Belleville, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
2745 Brookmeadow DrBelleville, IL 62221-7116
Phone: (618) 257-3090
Fax: (618) 257-3090
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Specialties & licences
| Non-emergency Medical Transport (VAN) (primary) | Taxonomy 343900000X |
|---|---|
| Non-emergency Medical Transport (VAN) | Taxonomy 343900000X (IL) |
Record details
| NPI number | 1831529239 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | November 21, 2013 |
| Last updated in NPPES | November 21, 2013 |
| Mailing address | 2745 Brookmeadow Dr, Belleville, IL 62221 |
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