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Individual
MRS. KENNEDY AUGUST STOUT
Active
Individual
MRS. KENNEDY AUGUST STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
11581658-4405
UT
363LA2100X
Acute Care Nurse Practitioner
Primary
28124
SC
363LA2100X
Acute Care Nurse Practitioner
Primary
ARNP.AP.70143615-NP
WA
Other
Enumeration date
10/30/2023
Last updated
09/03/2026
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