Individual
KRISTIN E STOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-4808
(210) 916-3366
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-8056
(210) 916-4721
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102205802
VA
207RH0003X
Hematology & Oncology Physician
Primary
0102205802
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102205802
COMMONWEALTH OF VIRGINIA BOARD OF MEDICINE
VA
Enumeration date
05/17/2016
Last updated
05/30/2024
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