Individual ProviderKathleen StucklyRegistered NurseNursing Service ProvidersPractice Address13601 Preston Rd Ste 210, Dallas, TX 75240-4911(972) 702-0300PECOS EnrollmentBased on the most recent information from CMS, provider Kathleen Stuckly does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1215518865Provider TypeIndividualFull NameStuckly, KathleenGenderFemaleSole ProprietorNoEnumeration Date4/15/2021Last Updated4/15/2021Contact InformationPractice LocationPractice Address13601 Preston Rd Ste 210, Dallas, TX 75240-4911Phone(972) 702-0300FaxUnlisted FaxMailing LocationMailing Address13601 Preston Rd Ste 210, Dallas, TX 75240-4911PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense534654Texas