Individual
MRS. KIMBERLY ANN STOECKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
092323
IA
225100000X
Physical Therapist
PT3135
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100262
ANTHEM BCBS
ME
01
—
2756063001
CIGNA
ME
05
—
431552002
—
ME
01
—
626281
HARVARD PILGRIM
ME
Enumeration date
05/01/2006
Last updated
08/24/2020
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