National Provider Identifier
Kelley Maureen Stout, ANP
Kelley Maureen Stout, ANP is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Penn Yan, NY and a listed phone number of (315) 729-0021.
Profile Overview
- NPI
- 1407048150
- Provider Type
- Individual
- Primary Specialty
- Adult Health Nurse Practitioner
- Enumeration Date
- August 16, 2007
- Last Updated
- August 16, 2007
Practice Location
- 166 South Ave
- Penn Yan, NY 14527-1820
Phone: (315) 729-0021
Specialties
- Adult Health Nurse Practitioner (363LA2200X)
Full Record
- NPI
- 1407048150
- Entity Type
- Individual
- Last Name
- Stout
- First Name
- Kelley
- Middle Name
- Maureen
- Credential
- ANP
- Provider Other Last Name
- Barry
- Provider Other First Name
- Kelley
- Provider Other Middle Name
- Stout
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 166 South Ave
- Mailing City
- Penn Yan
- Mailing State
- NY
- Mailing ZIP Code
- 14527-1820
- Mailing Country
- US
- Mailing Phone
- (315) 729-0021
- Mailing Fax
- (315) 531-2268
- Practice Street Address
- 166 South Ave
- Practice City
- Penn Yan
- Practice State
- NY
- Practice ZIP Code
- 14527-1820
- Practice Country
- US
- Practice Phone
- (315) 729-0021
- Practice Fax
- (315) 531-2268
- Enumeration Date
- August 16, 2007
- Last Updated
- August 16, 2007
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Adult Health Nurse Practitioner (363LA2200X)
- Other Identifiers
- 02049594 (NY)