Kent Stout is a Physician Assistant in Diamond Bar, California. Kent Stout practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kent Stout is 1336357896. The last update date is 2007-07-09.
Kent Stout's current location address is 1514 Valley Vista Dr, Diamond Bar, California. You can contact this provider via phone number 9098601144 and fax number 9098608307. The mailing address for Kent Stout is 1514 Valley Vista Dr, Diamond Bar, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kent Stout |
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Address | 1514 Valley Vista Dr, Diamond Bar, California |
Phone Number | 9098601144 |
Fax Number | 9098608307 |
Sole Proprietor | N |
Credentials | PA |
NPI Number Detail
NPI Number | 1336357896 |
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Provider Enumeration Date | 2007-05-18 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | 1514 Valley Vista Dr |
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City | Diamond Bar |
State | California (CA) |
Post Code | 917653929 |
Phone Number | 9098601144 |
Fax Number | 9098608307 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | S58129 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code issued to Kent Stout by the Centers for Medicare & Medicaid Services?
The Kent Stout has been assigned the NPI (National Provider Identifier) 1336357896 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Kent Stout is physically located?
The Kent Stout is situated at the following address: 1514 Valley Vista Dr, Diamond Bar, CA 917653929.
What is the area of specialization for Kent Stout, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kent Stout is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1336357896 to Kent Stout?
The Centers for Medicare & Medicaid Services assigned the 1336357896 to Kent Stout on 2007-05-18.
As of what date were the Kent Stout's details last updated?
The information pertaining to the Kent Stout, including its address, specialty, and other details, was most recently updated on 2007-07-09.