Individual provider · Type 1 NPI

Kelby Stout, PA-C

Medical Physician Assistant · Silverton, OR

NPI number 1295089027 Active

Practice location

335 Fairivew St
Silverton, OR 97381-1200

Fax (503) 873-8689

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA160806 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1295089027

Kelby Stout, PA-C's National Provider Identifier is 1295089027, issued on Oct 31, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Silverton, OR. The record was last updated on Mar 8, 2013.