Stacy Kimbrough
Case Manager/Care Coordinator in West Deptford, New Jersey
1609315563- Practice location
- 701 W Red Bank Ave, West Deptford, NJ 08096-4950
- Phone
- 347-226-0247
- Fax
- —
- Last updated
- February 13, 2017
Stacy Kimbrough is a Case Manager/Care Coordinator based in West Deptford, NJ. Stacy Kimbrough practices in West Deptford, NJ. The NPI Number for Stacy Kimbrough is 1609315563 and holds a License No. 687697 (PA). The current practice location address for Stacy Kimbrough is 701 W Red Bank Ave, West Deptford, NJ 08096-4950 and can be reached out via phone at 347-226-0247.
Provider Profile Details
- NPI Number
- 1609315563
- Provider Name
- Stacy Kimbrough
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 701 W Red Bank Ave, West Deptford, NJ 08096-4950
- Phone Number
- 347-226-0247
- Primary Taxonomy
- Case Manager/Care Coordinator · 171M00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 13, 2017
- Last Update Date
- February 13, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 701 W Red Bank Ave
West Deptford, NJ 08096-4950 - City
- West Deptford
- State
- New Jersey
- Zip
- 08096-4950
- Phone Number
- 347-226-0247
Provider Business Mailing Address Details
- Address
- 701 W Red Bank Ave
West Deptford, NJ 08096-4950 - City
- West Deptford
- State
- NJ
- Zip
- 08096-4950
License Information
- License Number
- 687697
- License State
- PA
- Taxonomy
- Case Manager/Care Coordinator · 171M00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Stacy Kimbrough?
The NPI number of Stacy Kimbrough is 1609315563. It was assigned on February 13, 2017 and is currently active in the NPPES registry.
What is the specialty of Stacy Kimbrough?
Stacy Kimbrough is registered under the primary taxonomy Case Manager/Care Coordinator (code 171M00000X), licensed in PA under license number 687697.
Where does Stacy Kimbrough practice?
The practice location is 701 W Red Bank Ave, West Deptford, NJ 08096-4950. The office can be reached at 347-226-0247 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609315563 directly on the NPPES registry website.