Mr. Kenneth P Stack
Physical Therapist Physical Therapist - Sports Physical Therapist - Geriatrics Physical Therapist - Orthopedic
115 S Saint Marys St Suite A
Raleigh
, North Carolina 27603-1785
Mr. Kenneth P Stack
Physical Therapist Physical Therapist - Sports Physical Therapist - Geriatrics Physical Therapist - Orthopedic
115 S Saint Marys St Suite A
Raleigh
, North Carolina 27603-1785
(866) 434-5096
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About
Features
Specialties
- Physical Therapist
- Physical Therapist - Geriatrics
- Physical Therapist - Sports
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Mr. Kenneth P Stack
- 1640 Eva Mae Dr
- Raleigh, NC
- Zip : 27610-4443
- Fax : (866) 434-5096
- Phone : (800) 362-0903
Second Address
- Mr. Kenneth P Stack
- 115 S Saint Marys St Suite A
- Raleigh, NC
- Zip : 27603-1785
- Fax : (866) 434-5096
- Phone : (800) 362-0903
Reviews
FAQs
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Where did Mr. Kenneth P Stack do his fellowship?
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What type of doctor is Mr. Kenneth P Stack
In what state does Mr. Kenneth P Stack practice in?
Where is Mr. Kenneth P Stack ’s practice located?
What is Mr. Kenneth P Stack ’s gender?
Is Mr. Kenneth P Stack a sole practitioner?
Is Mr. Kenneth P Stack accepting new patients?
What languages does Mr. Kenneth P Stack speak?
Does Mr. Kenneth P Stack accept insurance?
Does Mr. Kenneth P Stack offers telemedicine?
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What is Mr. Kenneth P Stack ’s NPI number?
Does Mr. Kenneth P Stack have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 8899 | NC |
| N | 2251G0304X | Physical Therapist - Geriatrics | 8899 | NC |
| N | 2251S0007X | Physical Therapist - Sports | 8899 | NC |
| N | 2251X0800X | Physical Therapist - Orthopedic | 8899 | NC |
National Provider Identifier
| NPI | 1346230489 |
|---|---|
| Provider Name | Mr. Kenneth P Stack |
| First Address | Raleigh, NC 27610-4443 |
| Second Address | Raleigh, NC 27603-1785 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/10/2005 |
| Last Update Date | 27/03/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 078V4 | BCBS (01) | NC |
| 11337022 | CAQH (01) | |
| 7212592 | (05) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.