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DR. KENNETH PAUL STOLLER MD
NPI 1063518967
Emergency Medicine - Undersea and Hyperbaric Medicine in Taos, NM

Active since September 16, 2006
330 PASEO DEL PUEBLO SUR STE J, TAOS, NM 87571(505) 288-9155 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2021, Nov 17, 2016 (2 updates tracked since 2016).

About Dr. Kenneth Paul Stoller Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KENNETH PAUL STOLLER MD (NPI 1063518967) is an individual undersea and hyperbaric medicine provider in Taos, New Mexico, licensed in New Mexico (97382) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1063518967
Entity TypeIndividualMale
Primary Taxonomy207PE0005X
Provider Legal NameDR. KENNETH PAUL STOLLERCredential: MD
Location Address330 PASEO DEL PUEBLO SUR STE JTaos, NM 87571-5328
Mailing Address330 Paseo Del Pueblo Sur Ste JTaos, NM 87571-5328 · (505) 288-9155
Phone(505) 288-9155
Sole ProprietorYes
Enumeration DateSeptember 16, 2006
Last NPPES UpdateMarch 18, 20212 updates tracked since enumeration
NPPES CertifiedMarch 18, 2021
✔ NPI 1063518967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Undersea and Hyperbaric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PE0005X
Licenses✔ Licensed in NM · 97382✔ Licensed in CA · A41183
Definition
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.
Also ListedPediatricsTaxonomy 208000000X · License A41183 (CA), 97382 (NM)
330 PASEO DEL PUEBLO SUR STE J, Taos, NM 87571
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Other Identifiers 1

MedicaidZ7406NM

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Stoller's NPI number?

The NPI number for Kenneth Stoller is 1063518967. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Kenneth Stoller located?

Kenneth Stoller practices at 330 Paseo Del Pueblo Sur Ste J, Taos, NM 87571. The listed phone number is (505) 288-9155.

What is Kenneth Stoller's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Undersea and Hyperbaric Medicine, with taxonomy code 207PE0005X.

When was this NPI record last updated?

The NPPES record for Kenneth Stoller was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.