Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACY KILBURN
Active Sole ProprietorSTACY KILBURN is a Student (Health Education/Training) healthcare provider located in DELEVAN, New York. NPI 1073048989 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · DELEVAN, NY
Registration Details
- NPI Number
- 1073048989
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 28, 2017 (9.3140615516906 yrs)
- Last Updated
- Apr 28, 2017
- License
-
653277 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
30 SCHOOL STDELEVAN, NY, 140429803Browse NY providers · Browse ZIP 14042
- Phone
- 7164929465
- Fax
- 7164929477
- Primary Specialty
-
Student (Health Education/Training)
390200000X
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.