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Ms. Kelly Lynn Stout, CPNP
Pediatric Nurse Practitioner in Port St Lucie, Florida
NPI 1780072330

Kelly Lynn Stout is a Pediatric Nurse Practitioner based in Port St Lucie, FL and is specialized in Pediatrics. Kelly Lynn Stout practices in Port St Lucie, FL and has the professional credentials of CPNP. The NPI Number for Kelly Lynn Stout is 1780072330 and holds a License No. 11030455 (Florida).

The current practice location address for Kelly Lynn Stout is 1850 Sw Fountainview Blvd Ste 105, Port St Lucie, FL and can be reached out via phone at 772-336-2818.

Location: 1850 Sw Fountainview Blvd Ste 105, Port St Lucie, FL, 34986-4527
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Provider Profile Details
NPI Number
1780072330
Provider Name
Kelly Lynn Stout
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
1850 Sw Fountainview Blvd Ste 105, Port St Lucie, FL, 34986-4527
Phone Number
772-336-2818
Fax Number
Provider Enumeration Date
01/06/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1780072330 05 NC
NP3486 05 SC
institution
Provider Business Practice Location Address Details
Address
1850 Sw Fountainview Blvd Ste 105
City
State
Zip
34986-4527
Phone Number
772-336-2818
Fax Number
person
Provider Business Mailing Address Details
Address
1850 Sw Fountainview Blvd Ste 105
City
State
Zip
34986-4527
Phone Number
772-336-2818
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
11030455 (Florida)
Definition
Definition to come...
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