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Individual

KIMBER M STOUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2085 S PACHECO ST, SUITE A, SANTA FE, NM 87505-5473
(505) 984-8012
(505) 988-2612
Mailing address
PO BOX 8387, ALBUQUERQUE, NM 87198-8387
(505) 841-1000
(505) 843-2853

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
2003-0705
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
51384795
NM
Enumeration date
06/08/2005
Last updated
03/21/2013
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