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Individual
MS. KIMBERLY A. STOUT
Active
Individual
MS. KIMBERLY A. STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-A, FAAA
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
01101
MD
231H00000X
Audiologist
Primary
2201001078
VA
Other
Enumeration date
03/10/2008
Last updated
11/05/2013
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