KERRICK LOUIS STOUT

DILLINGHAM, AK
NPI1710961172
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: AK  4902)
Additional Taxonomies207Q00000X Family Medicine
(Licence: KY  34237)
207P00000X Emergency Medicine
(Licence: KY  34237)
Enumeration Date2005-11-30
Last Update Date2015-03-11
Business Address
-- KERRICK LOUIS STOUT MD
6000 KANAKANAK RD
DILLINGHAM, AK 99576
Phone number: 907-842-5201
Mailing Address
-- KERRICK LOUIS STOUT MD
PO BOX 130
DILLINGHAM, AK 99576-0130
Phone number: 907-842-9218