| Doctor Name: | KEVIN R. STAMM |
| NPI Number: | 1932134590 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 01046799A |
| Business Practice Address: | 2003 Stults Rd Suite 120 Huntington, IN - 467501291 |
| Business Phone Number: | 2603553960 |
| Business Fax Number: | 2603553969 |
| Mailing Address: | 1234 E Dupont Rd, Suite 1 FORT WAYNE |
| State: | IN |
| Postal Code: | 468251545 |
| Phone Number: | 2603739728 |
| Fax Number: | 2604585664 |
| NPI Enumeration Date: | 07/12/2006 |
| NPI Last Update Date: | 10/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | 01046799A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |