Individual
MELIA STOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
222 W 15TH ST, LIBERAL, KS 67901
(620) 624-3811
(620) 624-3186
Mailing address
PO BOX 1340, LIBERAL, KS 67905-1340
(620) 624-3811
(620) 624-3186
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
44202
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161821
MEDICARE ID
KS
05
—
200428500A
—
KS
Enumeration date
10/03/2006
Last updated
09/05/2024
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