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NPI Code Detail

MEDICARE: KRISTEN STANLEY DO

MEDICARE: KRISTEN STANLEY DO
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
1208000000XPediatrics Physician006922AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598007817
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN STANLEY DO
Provider Business Mailing Address
First Line : 4137 N 108TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85037-5459
Country : US
Telephone Number : 623-877-7337
Fax Number :
Provider Business Practice Location Address
First Line : 4137 N 108TH AVE
Second Line :
City : PHOENIX
State : AZ
Zip : 85037-5459
Country : US
Telephone Number : 623-877-7337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2013
Last Update Date : 05/27/2026

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Directions to “ KRISTEN STANLEY DO” Practice Location

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