Kent Stout, PA

NPI #1336357896 in Diamond Bar, California

Provider Information

NPI Number: 1336357896
Entity Type: Individual
Name: Kent Stout, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: May 18, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 1514 VALLEY VISTA DR
City: Diamond Bar
State: California
ZIP Code: 91765-3929
Phone: (909) 860-1144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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