Individual provider · Type 1 NPI
Kelley Maureen Stout, ANP
Adult Health Nurse Practitioner · Penn Yan, NY
NPI number
1407048150
Active
Practice location
166 South Ave
Penn Yan, NY 14527-1820
Fax (315) 531-2268
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | F30-302516 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1407048150
Kelley Maureen Stout, ANP's National Provider Identifier is 1407048150, issued on Aug 16, 2007. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Penn Yan, NY. The record was last updated on Aug 16, 2007.