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

Individual provider Developmental Therapist · NPI 1649830506

Kimberly Lynn Stacy, MEDSPED is a Developmental Therapist in Taneytown, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2019
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Practice location Address checks out

11 Dunkle Ct
Taneytown, MD 21787-2317
Phone: (315) 877-6937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X · Licence 3889 (MD)

Record details

NPI number1649830506
Entity typeIndividual (Type 1)
GenderFemale
Credentials MEDSPED
Sole proprietorYes
NPI enumeratedJune 13, 2019
Last updated in NPPESJune 13, 2019