Individual provider · Type 1 NPI

Kimberly A. Stout, FNP

Family Nurse Practitioner · Statesville, NC

NPI number 1356740120 Active

Practice location

208 Old Mocksville Rd
Statesville, NC 28625-1953

Call (704) 838-8249 Map

Fax (704) 924-5364

Mailing address

Medical Center Blvd
Winston Salem, NC 27157-0001

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X5007155 (NC)

Family Nurse Practitioner: Definition to come...

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About NPI 1356740120

Kimberly A. Stout, FNP's National Provider Identifier is 1356740120, issued on Aug 18, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Statesville, NC. The record was last updated on Dec 4, 2015.