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DR. KIMBERLY KAHLER STUTZMAN MD NPI 1144212689


NPI Information

NPI: 1144212689
Provider Name: DR. KIMBERLY KAHLER STUTZMAN, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
777 N RAYMOND ST
BOISE, ID
ZIP 83704
Phone: (208) 367-6042
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DR. Kimberly Kahler Stutzman, MD is a family medicine in Boise, ID with 33 years of experience. The provider is 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 is not limited by age, sex, organ system, or disease entity. DR. Kimberly Kahler Stutzman, MD NPI is 1144212689. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:1991

The provider's business location address is:

777 N RAYMOND ST
BOISE, ID
ZIP 83704-251
Phone: (208) 367-6042
Fax: (208) 322-7018

The NPI 1144212689 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/19/2005 and was last updated on 6/9/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineMD0031115WASHINGTONNo
2207Q00000XFamily MedicineMD19694OREGONNo
3207Q00000XFamily MedicineM9972IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1805823200MEDICAIDIDAHO
21100040MEDICARE PINIDAHO
3F28134MEDICARE UPINWASHINGTON
48159519MEDICAIDWASHINGTON
511000401MEDICARE PINIDAHO
6000680911MEDICARE ID-TYPE UNSPECIFIEDWASHINGTON
711000402MEDICARE PINIDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.