Stacey Kassanchuk
Doula in Raymore, MO. Individual provider (NPI-1).
NPI number1932012192
StatusActive
Last updated in NPPESSep 28, 2026
Details
- NPI
- 1932012192
- Entity type
- Individual (NPI-1)
- Name
- Stacey Kassanchuk
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 28, 2026
- Certification date
- Sep 27, 2026
- Last updated
- Sep 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374J00000X | Doula | – | – | Yes |
Practice location
502 S Pelham PathRaymore, MO 64083-8140
Phone 913-636-6417
Mailing address
502 S Pelham PathRaymore, MO 64083-8140
Phone 913-636-6417
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