Kathryn E Stack, MD
Anesthesiology in Old Lyme, Connecticut
1326081969- Practice location
- 15 Wood Crest Dr, Old Lyme, CT 06371-2840
- Phone
- 404-932-9109
- Fax
- —
- Last updated
- December 23, 2021
Kathryn E Stack is an Anesthesiology based in Old Lyme, CT. Kathryn E Stack practices in Old Lyme, CT and has the professional credentials of MD. The NPI Number for Kathryn E Stack is 1326081969 and holds a License No. 57186 (CT). The current practice location address for Kathryn E Stack is 15 Wood Crest Dr, Old Lyme, CT 06371-2840 and can be reached out via phone at 404-932-9109.
Provider Profile Details
- NPI Number
- 1326081969
- Provider Name
- Kathryn E Stack
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 15 Wood Crest Dr, Old Lyme, CT 06371-2840
- Phone Number
- 404-932-9109
- Primary Taxonomy
- Anesthesiology · 207L00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 13, 2006
- Last Update Date
- December 23, 2021
- Certification Date
- December 23, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Wood Crest Dr
Old Lyme, CT 06371-2840 - City
- Old Lyme
- State
- Connecticut
- Zip
- 06371-2840
- Phone Number
- 404-932-9109
Provider Business Mailing Address Details
- Address
- 15 Wood Crest Dr
Old Lyme, CT 06371-2840 - City
- Old Lyme
- State
- CT
- Zip
- 06371-2840
- Phone Number
- 404-932-9109
License Information
- License Number
- 57186
- License State
- CT
- Taxonomy
- Anesthesiology · 207L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kathryn E Stack, MD?
The NPI number of Kathryn E Stack, MD is 1326081969. It was assigned on June 13, 2006 and is currently active in the NPPES registry.
What is the specialty of Kathryn E Stack, MD?
Kathryn E Stack, MD is registered under the primary taxonomy Anesthesiology (code 207L00000X), licensed in CT under license number 57186.
Where does Kathryn E Stack, MD practice?
The practice location is 15 Wood Crest Dr, Old Lyme, CT 06371-2840. The office can be reached at 404-932-9109 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326081969 directly on the NPPES registry website.