National Provider Identifier
Stacy Kilburn
Stacy Kilburn is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Delevan, NY and a listed phone number of (716) 492-9465.
Profile Overview
- NPI
- 1073048989
- Provider Type
- Individual
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- April 28, 2017
- Last Updated
- April 28, 2017
Practice Location
- 30 School St
- Delevan, NY 14042-9803
Phone: (716) 492-9465
Mailing Address
- 30 School St
- P.O. Box 217
- Delevan, NY 14042-9803
Specialties
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1073048989
- Entity Type
- Individual
- Last Name
- Kilburn
- First Name
- Stacy
- Mailing Street Address
- 30 School St
- Mailing Address Line 2
- P.O. Box 217
- Mailing City
- Delevan
- Mailing State
- NY
- Mailing ZIP Code
- 14042-9803
- Mailing Country
- US
- Mailing Phone
- (716) 492-9465
- Mailing Fax
- (716) 492-9477
- Practice Street Address
- 30 School St
- Practice City
- Delevan
- Practice State
- NY
- Practice ZIP Code
- 14042-9803
- Practice Country
- US
- Practice Phone
- (716) 492-9465
- Practice Fax
- (716) 492-9477
- Enumeration Date
- April 28, 2017
- Last Updated
- April 28, 2017
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Student in an Organized Health Care Education/Training Program (390200000X)