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

MS. Kacey M Stidham

Individual provider Family Nurse Practitioner · NPI 1922891662

MS. Kacey M Stidham is a Nurse Practitioner in London, Kentucky. Qualified in 2024, 2 years ago. Practices with Practitioner Services PLLC, a 7-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
2
Licensed in
KY
In the registry since
2025

Practice location Address checks out

1102 S Main St
London, KY 40741-1529
Phone: (606) 594-3516
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4037719 (KY)

Record details

NPI number1922891662
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 26, 2025
Last updated in NPPESMay 26, 2025
Certification dateMay 26, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Practitioner Services Pllc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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