Stacy Kannenberg Valid NPI

Individual provider · Student in an Organized Health Care Education/Training Program · Peoria Heights, IL

NPI

1790649986

Type

Individual (Type 1)

Primary specialty

Student in an Organized Health Care Education/Training Program

Specialty group

Student, Health Care

Taxonomy code

390200000X

Sex

Female

Sole proprietor

No

Enumerated

2025-12-11

Last updated

2025-12-11