Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacey L Shadix, PA-C

Individual provider Physician Assistant · NPI 1316015910

Stacey L Shadix, PA-C is a Physician Assistant in Crestview Hills, Kentucky. Licensed in Kentucky and Ohio. Registered with an NPI since 2006.

Licensed in
KY, OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2865 Chancellor Dr Ste 225
Crestview Hills, KY 41017-3912
Phone: (859) 341-5400
Fax: (859) 578-3172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1136 (KY)
Physician Assistant Taxonomy 363A00000X · Licence 50-00-2367 (OH)

Record details

NPI number1316015910
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 1, 2006
Last updated in NPPESOctober 16, 2008

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