person
Wyatt Allen Stahl, MD
Student in an Organized Health Care Education/Training Program in Edgewood, Kentucky
NPI 1780436345

Wyatt Allen Stahl is a Student in an Organized Health Care Education/Training Program based in Edgewood, KY. Wyatt Allen Stahl practices in Edgewood, KY and has the professional credentials of MD. The NPI Number for Wyatt Allen Stahl is 1780436345 and holds a License No. (Kentucky).

The current practice location address for Wyatt Allen Stahl is 413 S Loop Rd, Edgewood, KY and can be reached out via phone at 859-301-3800 and via fax at 859-301-3987.

Location: 413 S Loop Rd, Edgewood, KY, 41017-5446
person
Provider Profile Details
NPI Number
1780436345
Provider Name
Wyatt Allen Stahl
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
413 S Loop Rd, Edgewood, KY, 41017-5446
Phone Number
859-301-3800
Fax Number
859-301-3987
Provider Enumeration Date
04/04/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
413 S Loop Rd
City
State
Zip
41017-5446
Phone Number
859-301-3800
Fax Number
859-301-3987
person
Provider Business Mailing Address Details
Address
413 S Loop Rd
City
State
Zip
41017-5446
Phone Number
859-301-3800
Fax Number
859-301-3987
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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