Stout, Kimber M

Stout, Kimber M is an individual health care provider with primary practice located at 2085 S Pacheco St Suite A, Santa Fe NM 87505-5473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Stout, Kimber M can be contacted via phone (505) 984-8012.

Contact Information

Primary practice address
2085 S Pacheco St Suite A Santa Fe NM 87505-5473
Phone: (505) 984-8012
Fax: (505) 988-2612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 2003-0705 New Mexico

Profile Details

NPI number 1487658399
LBN Legal business name Stout, Kimber M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Mar 21st, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487658399 NPPES
New Mexico MEDICAID 51384795

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