Individual
DR. KEVIN L STOKKE
Active
Individual
DR. KEVIN L STOKKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G52844
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G528440
BLUE SHIELD
CA
05
—
00G528440
—
CA
01
—
080086118
MEDICARE RAILROAD CARRIER
CA
01
—
P00119224
RR MEDICARE
CA
Enumeration date
07/27/2006
Last updated
03/04/2010
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