Individual
MRS. STACY RENEE' TROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
923 CARROLL AVE, LARNED, KS 67550-2429
(620) 285-3161
Mailing address
923 CARROLL AVE, LARNED, KS 67550-2429
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01259
KS
Other
Enumeration date
05/22/2007
Last updated
01/10/2017
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