Stahl, Kent I

Stahl, Kent I is an individual health care provider with primary practice located at 1025 Silas Deane Hwy , Wethersfield CT 06109-4229. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Stahl, Kent I can be contacted via phone (860) 696-2400.

Contact Information

Primary practice address
1025 Silas Deane Hwy Wethersfield CT 06109-4229
Phone: (860) 696-2400
Fax: (860) 696-2410
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 022955 Connecticut
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 022955 Connecticut

Profile Details

NPI number 1376529818
LBN Legal business name Stahl, Kent I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Jul 31st, 2013 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376529818 NPPES
Connecticut MEDICAID 001229558

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