Individual
MRS. KASEY AMBER STOUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 581-2121
Mailing address
30 N 1900 E RM 4C104, SALT LAKE CITY, UT 84132-0002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11885586-1205
UT
208M00000X
Hospitalist Physician
Primary
11885586-1205
UT
Other
Enumeration date
04/15/2019
Last updated
06/01/2022
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