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:
Health care specialties
Specialty | Code | License # | 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 7 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.
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