Individual
KAYCEE STAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
211 SUDDERTH DRIVE, RUIDOSO, NM 88345
(575) 258-8200
Mailing address
PO BOX 1780, RUIDOSO, NM 88355
(817) 243-8188
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
999999999
NM
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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