National Provider Identifier Database

KENNETH P STOLLER, MD – NPI #1063518967
Undersea and Hyperbaric Medicine

A specialist who treats decompression illness and diving accident cases and uses hyperbaric oxygen therapy to treat such conditions as carbon monoxide poisoning, gas gangrene, non-healing wounds, tissue damage from radiation and burns, and bone infections. This specialist also serves as a consultant to other physicians in all aspects of hyperbaric chamber operations, and assesses risks and applies appropriate standards to prevent disease and disability in divers and other persons working in altered atmospheric conditions.


Contact Information

KENNETH P STOLLER, MD
330 PASEO DEL PUEBLO SUR STE J
TAOS, NM87571-5328
Phone: 505-288-9155
Fax:
Website:
Specialty Taxonomy Code
* Undersea and Hyperbaric Medicine 207PE0005X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for KENNETH P STOLLER

NPI Number 1063518967
Credentials MD
Entity Individual
Enumeration date 09/16/2006
Last updated 03/18/2021 - About 5 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: A41183
  • NM License #: 97382
  • NM Medicaid: Z7406
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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