person
Kelby Stout, PA-C
Medical Physician Assistant in Silverton, Oregon
NPI 1295089027

Kelby Stout is a Medical Physician Assistant based in Silverton, OR and is specialized in Medical. Kelby Stout practices in Silverton, OR and has the professional credentials of PA-C. The NPI Number for Kelby Stout is 1295089027 and holds a License No. PA160806 (Oregon).

The current practice location address for Kelby Stout is 335 Fairivew St, Silverton, OR and can be reached out via phone at 503-873-8686 and via fax at 503-873-8689.

Location: 335 Fairivew St, Silverton, OR, 97381-1200
person
Provider Profile Details
NPI Number
1295089027
Provider Name
Kelby Stout
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
335 Fairivew St, Silverton, OR, 97381-1200
Phone Number
503-873-8686
Fax Number
503-873-8689
Provider Enumeration Date
10/31/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
335 Fairivew St
City
State
Zip
97381-1200
Phone Number
503-873-8686
Fax Number
503-873-8689
person
Provider Business Mailing Address Details
Address
335 Fairivew St
City
State
Zip
97381-1200
Phone Number
503-873-8686
Fax Number
503-873-8689
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA160806 (Oregon)
Definition
Definition to come...
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