Ms. Kimberly Lynn Tracy

CPNP | Nurse Practitioner - Pediatrics

1177 E Cherry Street, Troy
  Missouri, 63379
636-528-3377
May or may not accept Medicare Nurse Practitioner in Troy, Missouri.
Ms. Kimberly Lynn Tracy is a Troy, Missouri based nurse practitioner who is specialized as Pediatrics NP. Active license number of Ms. Kimberly Lynn Tracy is 2019018502 for Pediatrics NP in Missouri. Her current practice location is 1177 E Cherry Street, Troy. Patients can reach her at 636-528-3377 or can fax her at 636-528-3335. Ms. Kimberly Lynn Tracy is CPNP with specialization in Pediatrics NP and her NPI number (Unique professional ID assigned by NPPES) is 1366002743.
Ms. Kimberly Lynn Tracy specializes in caring for newborns, infants, toddlers, adolescents and young adults. She perform pediatric health care maintenance, including well child exams, developmental screenings and in-depth physical assessments, such as vision, hearing and dental. Pediatrics Nurse Practitioner (PNP) focus on well-child care and the prevention or management of common pediatric acute illnesses and chronic conditions.
Complete Profile:
Ms. Kimberly Lynn Tracy speciality, credentials, practice address, contact phone number and fax are as below. Patients can call on the below given phone number for appointment.
Name: Ms. Kimberly Lynn Tracy
Specialization: Nurse Practitioner - Pediatrics (PNP)
Gender:Female
Credentials: CPNP
Practice Address:1177 E Cherry Street, Troy,
Missouri, 63379
Phone:636-528-3377
Fax:636-528-3335
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number: 1366002743
NPI Enumeration Date: 18 Jun, 2019
NPI Last Update On: 18 Jun, 2026

Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Kimberly Lynn Tracy are as mentioned below.
License NumberSpecializationStateStatus
2019018502Pediatrics NP MissouriPrimary
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Kimberly Lynn Tracy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
420078075MedicaidMissouri
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: Ms. Kimberly Lynn Tracy
1177 E Cherry Street,
Troy, Missouri
Zip: 63379
Phone Number: 636-528-3377
Fax Number: 636-528-3335
Patients can reach Ms. Kimberly Lynn Tracy at 1177 E Cherry Street, Troy, Missouri or can call to book an appointment on 636-528-3377.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.