Stacy Bankston Kalch, NP-C
Nurse Practitioner, Family in Warner Robins, GA. Individual provider (NPI-1).
NPI number1154587798
StatusActive
Last updated in NPPESSep 13, 2019
Details
- NPI
- 1154587798
- Entity type
- Individual (NPI-1)
- Name
- Stacy Bankston Kalch
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 4, 2008
- Last updated
- Sep 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN131694 | GA | Yes |
Other names
- Stacy Maine (Former Name)
Practice location
3094 Watson BlvdWarner Robins, GA 31093-8500
Phone 478-971-2324 · Fax 478-971-2329
Mailing address
233 N Houston RdSte 103
Warner Robins, GA 31093-8944
Phone 478-971-2324 · Fax 478-971-2329
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