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Kellie Thomason-Stacy

NPI 1821619669 · on the registry since 2020 · sole proprietor

Practice

Address
283 W 13th St Lot 22
Wellston, OH 45692
Phone
(740) 395-1689

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio