Individual
MRS. KARA JACKSON STOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Mailing address
820 N CHELAN AVE, WENATCHEE, WA 98801-2028
(509) 663-8711
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60746154
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366784522
—
WA
01
—
G8968750
WVH PTAN
WA
01
—
G8968751
WVH PTAN
WA
Enumeration date
03/26/2013
Last updated
07/21/2022
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