Individual provider · Type 1 NPI

Wyatt Allen Stahl, MD

Student in an Organized Health Care Education/Training Program · Edgewood, KY

NPI number 1780436345 Active

Practice location

413 S Loop Rd
Edgewood, KY 41017-5446

Call (859) 301-3800 Map

Fax (859) 301-3987

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1780436345

Wyatt Allen Stahl, MD's National Provider Identifier is 1780436345, issued on Apr 4, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Edgewood, KY. The record was last updated on Apr 4, 2024.