| Doctor Name: | DR. KENT E STAHL |
| NPI Number: | 1386683183 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 1748 |
| Business Practice Address: | 520 S Twin City Hwy Ste 102 Nederland, TX - 776274246 |
| Business Phone Number: | 4097271773 |
| Business Fax Number: | 4097271433 |
| Mailing Address: | 520 S Twin City Hwy Ste 102, NEDERLAND |
| State: | TX |
| Postal Code: | 776274246 |
| Phone Number: | 4097271773 |
| Fax Number: | 4097271433 |
| NPI Enumeration Date: | 06/06/2006 |
| NPI Last Update Date: | 03/28/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0131X |
| License Number: | 1748 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot Surgery |
| Taxonomy Definition: | |