NPI 1003400409

Stacy Jo Kegel, PAC

Practitioner Medical Physician Assistant Madison, WI

Practice location

Address: 600 Highland Ave, Madison, WI 53792-3765
Phone: (608) 262-2398
Mailing address: 7974 Uw Health CT, Middleton, WI 53562-5531

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 5293 (WI)

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Registry record

NPI: 1003400409
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Feb 2021
Record last updated: 18 Dec 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.