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Skylar P Stacy, MD
Family Medicine Physician in Independence, Kansas
NPI 1588289425

Skylar P Stacy is a Family Medicine Physician based in Omaha, KS. Skylar P Stacy practices in Independence, KS and has the professional credentials of MD. The NPI Number for Skylar P Stacy is 1588289425 and holds a License No. (Kansas).

The current practice location address for Skylar P Stacy is 510 Peter Pan Rd, Independence, KS and can be reached out via phone at 620-332-2000.

Location: 510 Peter Pan Rd, Independence, KS, 68198-3075
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588289425
Provider Name
Skylar P Stacy
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
510 Peter Pan Rd, Independence, KS, 68198-3075
Phone Number
620-332-2000
Fax Number
Provider Enumeration Date
06/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
510 Peter Pan Rd
City
Independence
State
Kansas
Zip
67301-7301
Phone Number
620-332-2000
Fax Number
person
Provider Business Mailing Address Details
Address
510 Peter Pan Rd
City
Independence
State
Kansas
Zip
67301-7301
Phone Number
620-332-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
04-47487 (Kansas)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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