Most Relevant Information
Provider Data
| NPI Number: | 1003400409 |
| Provider Name: | STACY JO KEGEL PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AM0700X |
| Specialty: | Physician Assistant |
| License Number: | 5293 |
Most Important Dates
| Enumeration Date: | 02/25/2021 |
| Last Updated: | 08/02/2024 |
Provider Practice Location
600 HIGHLAND AVE
MADISON
WI
537923765
Practice Location Phone/Fax
| Phone: | 6082622398 |
| Fax: |
Provider Mailing Location
7974 UW HEALTH CT
MIDDLETON
WI
535625531
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |