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Individual

KATHRYN K STOUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
102 DMV DR, KILMARNOCK, VA 22482-3843
(804) 436-8038
(804) 435-6029
Mailing address
7130 GLEN FOREST DR, SUITE 101, RICHMOND, VA 23226-3754
(804) 288-4048
(804) 282-8678

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101046636
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1023092608
VA
Enumeration date
12/06/2005
Last updated
02/11/2015
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