NPI 1316015910

Stacey L Shadix, PAC

Practitioner Physician Assistant Crestview Hills, KY

Practice location

Address: 2865 Chancellor Dr Suite 225, Crestview Hills, KY 41017-3912
Phone: (859) 341-5400
Fax: (859) 578-3172

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA1136 (KY)

Other Physician Assistant providers in Kentucky →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 50-00-2367 (OH)

Registry record

NPI: 1316015910
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Dec 2006
Record last updated: 16 Oct 2008

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.