Kim M Stooke is a Family Medicine in Vienna, . Kim M Stooke practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Kim M Stooke is 1922001767. The last update date is 2022-09-15.
Kim M Stooke's current location address is 800 Grand Central Mall, Vienna, . You can contact this provider via phone number 3044853300 and fax number 3044853317. The mailing address for Kim M Stooke is 800 Grand Central Mall, Vienna, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kim M Stooke |
|---|---|
| Address | 800 Grand Central Mall, Vienna, |
| Phone Number | 3044853300 |
| Fax Number | 3044853317 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1922001767 |
|---|---|
| Provider Enumeration Date | 2005-05-24 |
| Last Updated Date | 2022-09-15 |
Provider Mailing Address Detail
| Address | 800 Grand Central Mall |
|---|---|
| City | Vienna |
| State | (WV) |
| Post Code | 2610541310 |
| Phone Number | 3044853300 |
| Fax Number | 3044853317 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 35.088838 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 46995000 | WV | -- | |
| 2045405 | OH | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kim M Stooke by the Centers for Medicare & Medicaid Services (CMS)?
The Kim M Stooke has been assigned the NPI (National Provider Identifier) 1922001767. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Kim M Stooke's facilities are geographically located?
The facilities of Kim M Stooke are physically situated at the following location: 800 Grand Central Mall, Vienna, WV, 2610541310.
What is the Kim M Stooke's area of specialization and corresponding taxonomy classification?
The Kim M Stooke's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1922001767 to Kim M Stooke?
The Kim M Stooke received its 1922001767 assignment from the Centers for Medicare & Medicaid Services on 2005-05-24.
When was the information pertaining to Kim M Stooke most recently updated or revised?
The details related to Kim M Stooke, including its address, specialty, and other relevant information, were last updated or revised on 2022-09-15.
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