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Kelley Maureen Stout, ANP
Adult Health Nurse Practitioner in Penn Yan, New York
NPI 1407048150

Kelley Maureen Stout is an Adult Health Nurse Practitioner based in Penn Yan, NY and is specialized in Adult Health. Kelley Maureen Stout practices in Penn Yan, NY and has the professional credentials of ANP. The NPI Number for Kelley Maureen Stout is 1407048150 and holds a License No. F30-302516 (New York).

The current practice location address for Kelley Maureen Stout is 166 South Ave, Penn Yan, NY and can be reached out via phone at 315-729-0021 and via fax at 315-531-2268.

Location: 166 South Ave, Penn Yan, NY, 14527-1820
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Provider Profile Details
NPI Number
1407048150
Provider Name
Kelley Maureen Stout
Credential
ANP
Provider Entity Type
Individual
Gender
Female
Address
166 South Ave, Penn Yan, NY, 14527-1820
Phone Number
315-729-0021
Fax Number
315-531-2268
Provider Enumeration Date
08/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02049594 05 NY
institution
Provider Business Practice Location Address Details
Address
166 South Ave
City
State
Zip
14527-1820
Phone Number
315-729-0021
Fax Number
315-531-2268
person
Provider Business Mailing Address Details
Address
166 South Ave
City
State
Zip
14527-1820
Phone Number
315-729-0021
Fax Number
315-531-2268
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
F30-302516 (New York)
Definition
Definition to come...
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