Provider Demographics
NPI:1346396470
Name:MCNEILL, STACY VEE (BA)
Entity Type:Individual
Prefix:MS
First Name:STACY
Middle Name:VEE
Last Name:MCNEILL
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4354
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-0354
Mailing Address - Country:US
Mailing Address - Phone:913-709-2766
Mailing Address - Fax:
Practice Address - Street 1:8107 HALSEY ST
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66215-2722
Practice Address - Country:US
Practice Address - Phone:913-709-2766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator