Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly Kay Lacy, DO

Individual provider Family Medicine Physician · NPI 1043403751

Kimberly Kay Lacy, DO is a Family Practice in Rural Retreat, Virginia. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2006, 20 years ago. Practices with Blue Ridge Family Medicine, a 2-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
20
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
VA
In the registry since
2007
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

445 Gienow Rd
Rural Retreat, VA 24368-3210
Phone: (276) 686-4007
Fax: (276) 686-4581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0102202349 (VA)

Record details

NPI number1043403751
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedAugust 26, 2007
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024
Mailing address306 S Main St, Rural Retreat, VA 24368-3269

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesEMERGENCY MEDICINE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2006 (20 years in practice)
Group practice Blue Ridge Family Medicine — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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