Individual
CARA STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 SHERIDAN SQ, SUITE 200, KINGSPORT, TN 37660-7478
(423) 857-1360
Mailing address
8 SHERIDAN SQ, SUITE 200, KINGSPORT, TN 37660-7478
(423) 857-1360
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22026
TN
Other
Enumeration date
12/13/2016
Last updated
12/13/2016
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