Individual
DR. KIMBERLY STAUDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2051 CLEVIDENCE BLVD STE B, CLARKSVILLE, IN 47129-2278
(812) 280-9145
(812) 280-6632
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101266296
VA
207R00000X
Internal Medicine Physician
Primary
01091586A
IN
207R00000X
Internal Medicine Physician
59573
KY
Other
Enumeration date
04/18/2017
Last updated
08/30/2024
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