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1356740120
KIMBERLY A STOUT
STATESVILLE, NC
NPI
1356740120
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5007155)
Enumeration Date
2014-08-18
Last Update Date
2015-12-04
Business Address
-- KIMBERLY A STOUT FNP
208 OLD MOCKSVILLE RD
STATESVILLE, NC 28625-1953
Phone number: 704-838-8249
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Mailing Address
-- KIMBERLY A STOUT FNP
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2255
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