MRS. Stacy Renee' Trout, PA-C

NPI #1679782742 in Larned, Kansas

Provider Information

NPI Number: 1679782742
Entity Type: Individual
Name: MRS. Stacy Renee' Trout, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 22, 2007
Last Updated: Jan 10, 2017

Practice Location

Address: 923 CARROLL AVE
City: Larned
State: Kansas
ZIP Code: 67550-2429
Phone: (620) 285-3161

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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