Stack, Kimberly Marie

Stack, Kimberly Marie is an individual health care provider with primary practice located at 1758 Union St , Schenectady NY 12309-6314. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family is her primary health care specialty. Stack, Kimberly Marie can be contacted via phone (518) 982-1274.

Contact Information

Primary practice address
1758 Union St Schenectady NY 12309-6314
Phone: (518) 982-1274
Fax: (518) 982-1277
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0001125389 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 426056-1 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family 364SP0810X F402216 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F402216 New York

Profile Details

NPI number 1366413536
LBN Legal business name Stack, Kimberly Marie
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Nov 3rd, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers