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NPI Code Detail

MEDICARE: MS. STACY KABER

MEDICARE:  MS. STACY  KABER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1246ZE0600XElectroneurodiagnostic Specialist/Technologist
2246ZS0410XSurgical Technologist

General Provider Information

NPI Number : 1043414188
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. STACY KABER
Provider Business Mailing Address
First Line : 1801 W END AVE
Second Line : SUITE 1610
City : NASHVILLE
State : TN
Zip : 37203-2526
Country : US
Telephone Number : 615-928-6075
Fax Number : 615-457-1447
Provider Business Practice Location Address
First Line : 1801 W END AVE
Second Line : SUITE 1610
City : NASHVILLE
State : TN
Zip : 37203-2526
Country : US
Telephone Number : 615-928-6075
Fax Number : 615-457-1447
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2007
Last Update Date : 08/31/2016

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