National Provider Identifier
Stacie B Kem
Stacie B Kem is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Fairport, NY and a listed phone number of (585) 377-4660.
Profile Overview
- NPI
- 1750675229
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- June 02, 2011
- Last Updated
- August 24, 2011
Practice Location
- 41 Oconnor RD
- Fairport, NY 14450-1327
Phone: (585) 377-4660
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1750675229
- Entity Type
- Individual
- Last Name
- Kem
- First Name
- Stacie
- Middle Name
- B
- Name Prefix
- Mrs.
- Provider Other Last Name
- Kem
- Provider Other First Name
- Stacie
- Provider Other Middle Name
- Butera
- Provider Other Name Prefix Text
- Mrs.
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 41 Oconnor RD
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-1327
- Mailing Country
- US
- Mailing Phone
- (585) 377-4660
- Practice Street Address
- 41 Oconnor RD
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450-1327
- Practice Country
- US
- Practice Phone
- (585) 377-4660
- Enumeration Date
- June 02, 2011
- Last Updated
- August 24, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)