Organization
KIMBERLY M STACK, NP IN PSYCHIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY M STACK NP (DNP, PMHNP-BC)
(518) 952-4000
Entity
Organization
Contact information
Practice address
954 ROUTE 146 STE 3, CLIFTON PARK, NY 12065-3639
(518) 952-4000
Mailing address
954 ROUTE 146 STE 3, CLIFTON PARK, NY 12065-3639
(518) 952-4000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
06/02/2025
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