Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLEEN MARIE STACK, MD
ActiveKATHLEEN MARIE STACK, MD is a Psychiatry healthcare provider located in FT EUSTIS, Virginia. NPI 1902866718 is currently active in the NPPES registry. Verify at CMS.
Psychiatry · FT EUSTIS, VA
Registration Details
- NPI Number
- 1902866718
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 24, 2006 (20.419667451185 yrs)
- Last Updated
- Jan 10, 2013
- Licenses
-
0101044295 (VA)0101044295 (VA)
Practice Information
- Address
-
576 JEFFERSON AVEMCDONALD ARMY HEALTH CENTERFT EUSTIS, VA, 236045548Browse VA providers · Browse ZIP 23604
- Phone
- 7573446921
- Primary Specialty
-
Psychiatry
2084P0800X
- Additional Specialty
- Psychiatry & Neurology
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.