Kenneth R Stifler | Lynchburg, VA • PECOS Search

Kenneth R Stifler

Counselor

Behavioral Health & Social Service Providers

1901 Tate Springs Rd, Lynchburg, VA 24501-1109

PECOS Enrollment

Based on the most recent information from CMS, provider Kenneth R Stifler does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1659373272
Provider Type
Individual
Full Name
Stifler, Kenneth R
Gender
Male

Sole Proprietor
No
Enumeration Date
8/12/2005
Last Updated
3/13/2008

Contact Information

Practice Location

1901 Tate Springs Rd, Lynchburg, VA 24501-1109

Unlisted Fax

Mailing Location

1204 Fenwick Dr, Lynchburg, VA 24502-2112

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License 0701001400 Virginia