MS. Andrea Kathryn Stout, PA-C

NPI #1982972782 in Columbia, Illinois

Provider Information

NPI Number: 1982972782
Entity Type: Individual
Name: MS. Andrea Kathryn Stout, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 7, 2011
Last Updated: Aug 7, 2024

Practice Location

Address: 1019 VALMEYER RD
City: Columbia
State: Illinois
ZIP Code: 62236-4123
Phone: (618) 205-7170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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