MEDICARE: DR. STACEY MARIE KUHFAHL D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician	C2-0023949	DE
2	207R00000X	Internal Medicine Physician	25MB08910400	NJ
3	207R00000X	Internal Medicine Physician	C2-0023949	DE

General Provider Information

NPI Number	:	1265687198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STACEY MARIE KUHFAHL D.O.

Provider Business Mailing Address
First Line	:	17021 OLD ORCHARD RD UNIT 4
Second Line	:
City	:	LEWES
State	:	DE
Zip	:	19958-4832
Country	:	US
Telephone Number	:	302-329-8712
Fax Number	:	302-481-1330

Provider Business Practice Location Address
First Line	:	17021 OLD ORCHARD RD UNIT 4
Second Line	:
City	:	LEWES
State	:	DE
Zip	:	19958
Country	:	US
Telephone Number	:	302-329-8712
Fax Number	:	302-481-1330

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/19/2008
Last Update Date	:	06/12/2026

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