Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STACEY L SHADIX, PA-C

Active

Physician Assistant · CRESTVIEW HILLS, KY

Registration Details

NPI Number: 1316015910
Provider Type: Individual
Gender: Female
NPI Issued: Dec 1, 2006 (19.400693270646 yrs)
Last Updated: Oct 16, 2008
Licenses: 50-00-2367 (OH)

PA1136 (KY)

Practice Information

Address: 2865 CHANCELLOR DR

SUITE 225

CRESTVIEW HILLS, KY, 410173912
Browse KY providers · Browse ZIP 41017
Phone: 8593415400
Fax: 8595783172
Primary Specialty: Physician Assistant
363A00000X
Additional Specialty: Physician Assistant

Other Physician Assistant Providers in CRESTVIEW HILLS, KY

Name	Credential	NPI
MS. COLLEEN MARIE KENNEDY	PA-C	1154302388
RACHELL L BROOKS	PA	1396954798
MRS. MELISSA BLAIR WHITAKER	PA-C	1790940146
MRS. EMILY NICHOLE BRAY	PA-C	1477703858
MRS. KELLY KATHLEEN FAILLO	PA-C	1760798052
MRS. JESSICA MARIE GARDNER	PA-C	1497042113

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.