Individual
KIMBERLY A STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
208 OLD MOCKSVILLE RD, STATESVILLE, NC 28625-1953
(704) 838-8249
(704) 924-5364
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-3202
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5007155
NC
Other
Enumeration date
08/18/2014
Last updated
12/04/2015
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