Individual
KIMBERLY STAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
809 N 12TH ST, MURRAY, KY 42071-1648
(270) 753-4101
Mailing address
809 N 12TH ST, MURRAY, KY 42071-1648
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
111816
KY
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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