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Stacy Kilburn
Student in an Organized Health Care Education/Training Program in Delevan, New York
NPI 1073048989

Stacy Kilburn is a Student in an Organized Health Care Education/Training Program based in Delevan, NY. Stacy Kilburn practices in Delevan, NY. The NPI Number for Stacy Kilburn is 1073048989 and holds a License No. 653277 (New York).

The current practice location address for Stacy Kilburn is 30 School St, Delevan, NY and can be reached out via phone at 716-492-9465 and via fax at 716-492-9477.

Location: 30 School St, Delevan, NY, 14042-9803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073048989
Provider Name
Stacy Kilburn
Credential
Provider Entity Type
Individual
Gender
Female
Address
30 School St, Delevan, NY, 14042-9803
Phone Number
716-492-9465
Fax Number
716-492-9477
Provider Enumeration Date
04/28/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
30 School St
City
Delevan
State
New York
Zip
14042-9803
Phone Number
716-492-9465
Fax Number
716-492-9477
person
Provider Business Mailing Address Details
Address
30 School St
City
Delevan
State
New York
Zip
14042-9803
Phone Number
716-492-9465
Fax Number
716-492-9477
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
653277 (New York)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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