Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kyle Stahlbaum, PA-C

Individual provider Physician Assistant · NPI 1205611720

Kyle Stahlbaum, PA-C is a Physician Assistant in Cincinnati, Ohio. Licensed in Ohio. Registered with an NPI since 2023.

Licensed in
OH
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone: (513) 558-5281
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.008875RX (OH)

Record details

NPI number1205611720
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 31, 2023
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024
Mailing address3200 Burnet Ave, Cincinnati, OH 45229-3019

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