Kerrick Louis Stout, MD

NPI #1710961172 in Dillingham, Alaska

Provider Information

NPI Number: 1710961172
Entity Type: Individual
Name: Kerrick Louis Stout, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Nov 30, 2005
Last Updated: Mar 11, 2015

Practice Location

Address: 6000 KANAKANAK RD
City: Dillingham
State: Alaska
ZIP Code: 99576
Phone: (907) 842-5201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Emergency Medicine	207P00000X

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