Individual
DR. KIMBERLY D. STOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2012014201
MO
208000000X
Pediatrics Physician
34394
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124137252
—
MO
05
—
2247346
—
IA
01
—
32018
WELLMARK BLUE SHIELD
IA
05
—
3247346
—
IA
Enumeration date
08/30/2006
Last updated
11/27/2012
Update your record
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