Stackpole, Kimberly W

Stackpole, Kimberly W is an individual health care provider with primary practice located at 311 N Clyde Morris Blvd Suite 320, Daytona Beach FL 32114-2781. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Stackpole, Kimberly W can be contacted via phone (386) 255-5331.

Contact Information

Primary practice address
311 N Clyde Morris Blvd Suite 320 Daytona Beach FL 32114-2781
Phone: (386) 255-5331
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X Florida

Profile Details

NPI number 1881001162
LBN Legal business name Stackpole, Kimberly W
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2014
Last updated Jul 17th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers