Individual
MRS. KELLEY STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3158 DIXIE HWY, ERLANGER, KY 41018-1850
(859) 344-0434
Mailing address
121 WOODSPOINT DR, CRESTVIEW HILLS, KY 41017-2295
(859) 816-7610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014068
KY
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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