Individual
KEITH DAVID STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 256-9540
(515) 256-9601
Mailing address
3600 30TH ST, DES MOINES, IA 50310-5753
(515) 256-9540
(515) 256-9601
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P35019
IA
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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