1. Home
  2. Directory
  3. New York
  4. Fulton
  5. Nurse Practitioner
  6. NPI Profile

KYLIE M. LACEY N.P.
NPI 1346358082
Nurse Practitioner - Family in Fulton, NY

Active since August 25, 2006
522 S 4TH ST, SUITE 500, FULTON, NY 13069(315) 598-4740(315) 598-4719 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kylie M. Lacey N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLIE M. LACEY N.P. (NPI 1346358082) is an individual family provider in Fulton, New York, licensed in New York (F334695) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1346358082
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKYLIE M. LACEYCredential: N.P.
Location Address522 S 4TH ST, SUITE 500Fulton, NY 13069-2946
Mailing Address239 Oneida StFulton, NY 13069-1228 · (315) 598-4715 · Fax (315) 598-4733
Phone(315) 598-4740
Fax(315) 598-4719
Sole ProprietorNo
Enumeration DateAugust 25, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1346358082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F334695
522 S 4TH ST, Fulton, NY 13069
Open in Google Maps ↗

Other Names 1

Former Name (1)Kylie M. Frary N.p.

Other Identifiers 2

Medicare UPINQ64502NY
Medicare ID-Type UnspecifiedRA9783NY

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAMANTHA GOUTERMOUT NP
Nurse Practitioner
522 S 4TH ST
FULTON, NY 13069
Oswego County (315) 592-3930
MARIE E. CASTILLO-ALCASID M.D.
Internal Medicine
522 S 4TH ST, SUITE 500
FULTON, NY 13069
Oswego County (315) 598-4740
KIMBERLY ANNE POWERS LMHC
Counselor (Mental Health)
522 S 4TH ST
FULTON, NY 13069
Oswego County (315) 598-7400
MARIE-JEANNE DESRAVINES M.D.
Family Medicine
522 S 4TH ST, SUITE 500
FULTON, NY 13069
Oswego County (315) 598-4740
M ZAEEM ANSARI, M.D., P.C.
Internal Medicine (Cardiovascular Disease)
522 S 4TH ST, SUITE 1500
FULTON, NY 13069
Oswego County (315) 593-2010
JAYAKUMAR THOTAMBILU, PHYSICIAN, P.C.
Specialist
522 S 4TH ST, SUITE 1300
FULTON, NY 13069
Oswego County (315) 592-4000
SUSAN A. KRZYZAK N.P.
Nurse Practitioner (Family)
522 S 4TH ST, SUITE 500
FULTON, NY 13069
Oswego County (315) 598-4740
DR. ANDREW ROGALL M.D.
Family Medicine
522 S 4TH ST
FULTON, NY 13069
Oswego County (315) 592-3930

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kylie Lacey's NPI number?

The NPI number for Kylie Lacey is 1346358082. It was assigned to this individual provider in the NPPES registry on August 25, 2006. The provider is also known as Kylie M. Frary N.P..

Where is Kylie Lacey located?

Kylie Lacey practices at 522 S 4th St Suite 500, Fulton, NY 13069. The listed phone number is (315) 598-4740.

What is Kylie Lacey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kylie Lacey was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.