Healthcare Provider Details

I. General information

NPI: 1942088653
Provider Name (Legal Business Name): STACY L KUHL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2023
Last Update Date: 09/15/2023
Certification Date: 09/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

671 YVONNE DR SW
CONCORD NC
28027-3918
US

IV. Provider business mailing address

671 YVONNE DR SW
CONCORD NC
28027-3918
US

V. Phone/Fax

Practice location:
  • Phone: 704-490-7847
  • Fax:
Mailing address:
  • Phone: 704-490-7847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: