NPI 1649830506
Kimberly Lynn Stacy, MEDSPED
Practice location
- Address
- 11 Dunkle CT, Taneytown, MD 21787-2317
- Phone
- (315) 877-6937
Registered specialties
Developmental Therapist
Primary
Registry record
- NPI
- 1649830506
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Jun 2019
- Record last updated
- 13 Jun 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.