Individual
KENNETH STOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2694 GEORGE WASHINGTON HWY, GRAFTON, WV 26354-7453
(304) 518-9100
Mailing address
2694 GEORGE WASHINGTON HWY, GRAFTON, WV 26354-7453
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/04/2025
Last updated
07/04/2025
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