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

Stacy Kirby, KCSA

Individual provider Surgical Assistant · NPI 1417304304

Stacy Kirby, KCSA is a Surgical Assistant in Bowling Green, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2016

Practice location Address checks out

1945 Scottsville Rd B2 Pmb 397
Bowling Green, KY 42104-3376
Phone: (270) 781-4828
Fax: (270) 781-4828
Show map & directions

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

Specialties & licences

Surgical Assistant (primary) Taxonomy 246ZC0007X · Licence SA296 (KY)

Record details

NPI number1417304304
Entity typeIndividual (Type 1)
GenderFemale
Credentials KCSA
Sole proprietorYes
NPI enumeratedMay 20, 2016
Last updated in NPPESMay 20, 2016
Mailing address1945 Scottsville Rd, B2 Pmb 397, Bowling Green, KY 42104-3376

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