Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KIMBERLY KAY LACY, D.O.
Active Sole ProprietorKIMBERLY KAY LACY, D.O. is a Family Medicine healthcare provider located in RURAL RETREAT, Virginia. NPI 1043403751 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · RURAL RETREAT, VA
Registration Details
- NPI Number
- 1043403751
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 26, 2007 (18.966224040871 yrs)
- Last Updated
- Oct 15, 2024
- License
-
0102202349 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
445 GIENOW RDRURAL RETREAT, VA, 243683210Browse VA providers · Browse ZIP 24368
- Phone
- 2766864007
- Fax
- 2766864581
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in RURAL RETREAT, VA
| Name | Credential | NPI |
|---|---|---|
| CHARLES PHILLIP HURLBURT | M.D. | 1649213315 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.