Individual
DR. KIMBERLY J STOUDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, EMT
Contact information
Practice address
400 SAINT BERNARDINE ST, READING, PA 19607-1737
(610) 796-8335
Mailing address
512 REEVES DR, PHOENIXVILLE, PA 19460-3626
(610) 933-8556
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001519A
PA
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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