Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Stacy Kannenberg

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790649986

Stacy Kannenberg is a Student in an Organized Health Care Education/Training Program in Peoria Heights, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Peoria Heights, IL

No coordinates on file. Search this address in Google Maps

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (IL)
Athletic Trainer Taxonomy 2255A2300X (IL)

Record details

NPI number1790649986
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 11, 2025
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025

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