KATHERINE STOUT

CHAMPAIGN, IL
NPI1669616611
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IL  209007439)
Enumeration Date2009-04-21
Last Update Date2014-05-13
Business Address
-- KATHERINE STOUT NP
1802 S. MATTIS AVENUE ORTHOPEDICS
CHAMPAIGN, IL 61821
Phone number: 217-383-7676
Mailing Address
-- KATHERINE STOUT NP
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792
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