Individual
KYRSTEN E STOOPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
623 S MAIN ST STE 1, MOSCOW, ID 83843
(208) 882-2011
(208) 883-1853
Mailing address
PO BOX 8007, MOSCOW, ID 83843-0507
(208) 883-2224
(208) 883-6580
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M-12207
ID
207Q00000X
Family Medicine Physician
Primary
MD.60298970
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/27/2010
Last updated
09/16/2025
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