National Provider Identifier
Stacey Lynn Keck-Heath, LPN
Stacey Lynn Keck-Heath, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Elmira, NY and a listed phone number of (607) 734-3646.
Profile Overview
- NPI
- 1902137557
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- January 21, 2010
- Last Updated
- January 21, 2010
Practice Location
- 221 W Church St
- Elmira, NY 14901-2721
Phone: (607) 734-3646
Mailing Address
- 401 Prospect Hill RD
- Horseheads, NY 14845-8567
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1902137557
- Entity Type
- Individual
- Last Name
- Keck-Heath
- First Name
- Stacey
- Middle Name
- Lynn
- Credential
- LPN
- Provider Other Last Name
- Keck
- Provider Other First Name
- Stacey
- Provider Other Middle Name
- L
- Provider Other Credential Text
- LPN
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 401 Prospect Hill RD
- Mailing City
- Horseheads
- Mailing State
- NY
- Mailing ZIP Code
- 14845-8567
- Mailing Country
- US
- Practice Street Address
- 221 W Church St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-2721
- Practice Country
- US
- Practice Phone
- (607) 734-3646
- Enumeration Date
- January 21, 2010
- Last Updated
- January 21, 2010
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)