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

MR. KENDALL C STACKER

Active Sole Proprietor

MR. KENDALL C STACKER is a Bus healthcare provider located in BELLEVILLE, Illinois. NPI 1831529239 is currently active in the NPPES registry. Verify at CMS.

Bus · BELLEVILLE, IL

Registration Details

NPI Number
1831529239
Provider Type
Individual
Gender
Male
NPI Issued
Nov 21, 2013 (12.693715889693 yrs)
Last Updated
Nov 21, 2013
Sole Proprietor
Yes

Practice Information

Address
2745 BROOKMEADOW DR
BELLEVILLE, IL, 622217116
Browse IL providers · Browse ZIP 62221
Phone
6182573090
Fax
6182573090
Primary Specialty
Bus
343900000X
Additional Specialty
Bus

Other Bus Providers in BELLEVILLE, IL

Name Credential NPI
MR. JAMAAL MARTIN 1447774401
FREDERICK MERRITT 1043722556
MR. JERELL L CRUMBLE 1215415658
MS. VICKIE JO KIMMEL 1962973404
VINCENT RHODES 1942847173
CHRIS JAY PEARSALL 1548044241
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.