Kimberly Stackpole

Individual Active
NPI 1881001162
Medical Physician Assistant Maitland, FL

Kimberly Stackpole holds NPI 1881001162, with a primary taxonomy of medical physician assistant and a practice location in Maitland, FL. The number was issued on July 17, 2014 and the NPPES record was last updated on October 6, 2026. One additional practice location is listed.

Taxonomies and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X PA9108139 (FL)

Practice locations

2600 Westhall Ln Ste 4
Maitland, FL 32751-7102
Phone: (407) 200-2355
311 N Clyde Morris Blvd
Suite 320
Daytona Beach, FL 32114-2781
Phone: (386) 255-5331

Local context

Active NPPES records list 462 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 309 of them within 10 miles.

The same primary taxonomy is listed by 2,879 in Florida and 40,194 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Kimberly W Stackpole
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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