Individual
KENNETH MARTIN STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
374 RIDGEWATER DR, ELYRIA, OH 44035-3239
(440) 281-7601
Mailing address
534 PENFIELD AVE, ELYRIA, OH 44035-3239
(440) 281-7601
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
06/17/2025
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