Individual
KEVIN STAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1392 E PALOMAR ST STE 503, CHULA VISTA, CA 91913-1895
(619) 482-3000
Mailing address
1884 AQUAMARINE CT UNIT 6, CHULA VISTA, CA 91913-8336
(858) 602-2767
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
303251
CA
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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