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

Stacy Kimbrough

Individual provider Case Manager/Care Coordinator · NPI 1609315563

Stacy Kimbrough is a Case Manager/Care Coordinator in West Deptford, New Jersey. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2017
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Practice location Address checks out

701 W Red Bank Ave
West Deptford, NJ 08096-4950
Phone: (347) 226-0247
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence 687697 (PA)

Record details

NPI number1609315563
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 13, 2017
Last updated in NPPESFebruary 13, 2017
Mailing address701 W Red Bank Ave, West Deptford, NJ 08096-4950