| Doctor Name: | MS. KATHLEEN M STAHL |
| NPI Number: | 1053625541 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 374568-4408 |
| Business Practice Address: | 1325 N 600 E Ste 102 Logan, UT - 843416744 |
| Business Phone Number: | 4357539999 |
| Business Fax Number: | |
| Mailing Address: | 1325 N 600 E Ste 102, LOGAN |
| State: | UT |
| Postal Code: | 843416744 |
| Phone Number: | 4357539999 |
| Fax Number: | |
| NPI Enumeration Date: | 07/27/2010 |
| NPI Last Update Date: | 07/27/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 374568-4408 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |