IndividualActive
Kenneth Stoller, MD
NPI 1063518967 · Undersea and Hyperbaric Medicine (Emergency Medicine) Physician · Taos, NM
Provider details
- NPI number
- 1063518967
- Entity type
- Individual
- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- A41183 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
330 Paseo Del Pueblo Sur Ste J
Taos, NM 87571-5328
Phone: (505) 288-9155
Approximate (ZIP-level) locationGet directions
Mailing address
330 Paseo Del Pueblo Sur Ste J
Taos, NM 87571-5328
Registry dates
- Enumerated
- 2006-09-16
- Last updated
- 2021-03-18
- Certified
- 2021-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.