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Ms. Kathy Jo Stout, NP-C
Adult Health Nurse Practitioner in Portland, Maine
NPI 1649422528

Kathy Jo Stout is an Adult Health Nurse Practitioner based in South Portland, ME and is specialized in Adult Health. Kathy Jo Stout practices in Portland, ME and has the professional credentials of NP-C. The NPI Number for Kathy Jo Stout is 1649422528 and holds a License No. R045583 (Maine).

The current practice location address for Kathy Jo Stout is 66 Bramhall St, Portland, ME and can be reached out via phone at 207-662-4582.

Location: 66 Bramhall St, Portland, ME, 04106-6143
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Provider Profile Details
NPI Number
1649422528
Provider Name
Kathy Jo Stout
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
66 Bramhall St, Portland, ME, 04106-6143
Phone Number
207-662-4582
Fax Number
Provider Enumeration Date
10/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30347768 05 NH
420670099 05 ME
institution
Provider Business Practice Location Address Details
Address
66 Bramhall St
City
State
Zip
04102
Phone Number
207-662-4582
Fax Number
person
Provider Business Mailing Address Details
Address
66 Bramhall St
City
State
Zip
04102
Phone Number
207-662-4582
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
R045583 (Maine)
Definition
Definition to come...
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