Stout, Andrea Kathryn

Stout, Andrea Kathryn is an individual health care provider with primary practice located at #3 Junction Drive West , Glen Carbon IL 62034-2916. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Stout, Andrea Kathryn can be contacted via phone (618) 288-5088.

Contact Information

Primary practice address
#3 Junction Drive West Glen Carbon IL 62034-2916
Phone: (618) 288-5088
Fax: (618) 288-9153
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085004179 Illinois

Profile Details

NPI number 1982972782
LBN Legal business name Stout, Andrea Kathryn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2011
Last updated Dec 7th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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