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NPI Code Detail

MEDICARE: KAITLYN STOKARSKI

MEDICARE: KAITLYN STOKARSKI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1487321485
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLYN STOKARSKI
Provider Business Mailing Address
First Line : 618 DUTTON DISTRICT RD
Second Line :
City : SPRINGFIELD
State : VT
Zip : 05156-9209
Country : US
Telephone Number : 802-591-3296
Fax Number :
Provider Business Practice Location Address
First Line : 370 BASSETT RD
Second Line :
City : NORTH HAVEN
State : CT
Zip : 06473-4201
Country : US
Telephone Number : 203-582-5329
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2021
Last Update Date : 08/26/2021

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Directions to “ KAITLYN STOKARSKI ” Practice Location

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