Individual
KERRICK LOUIS STOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6000 KANAKANAK RD, DILLINGHAM, AK 99576
(907) 842-5201
(907) 842-9250
Mailing address
PO BOX 130, DILLINGHAM, AK 99576-0130
(907) 842-9218
(907) 842-9500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
34237
KY
207Q00000X
Family Medicine Physician
34237
KY
207Q00000X
Family Medicine Physician
Primary
4902
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD6411
—
AK
Enumeration date
11/30/2005
Last updated
03/11/2015
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