Individual provider · Type 1 NPI

Kelly Stout, APRN, AGPCNP-C

Nurse Practitioner · Mokena, IL

NPI number 1386596724 Active

Practice location

19657 S La Grange Rd
Mokena, IL 60448-9360

Fax (708) 995-7144

Other practice locations

  • 4321 Fir St, Wound Clinic, East Chicago, IN 46312-3049 · (219) 392-2740

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X71018107A (IN)
Nurse Practitioner Primary 363L00000X209.034209 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1386596724

Kelly Stout, APRN, AGPCNP-C's National Provider Identifier is 1386596724, issued on Feb 10, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mokena, IL. The record was last updated on Jun 23, 2026.