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KELLEY MAUREEN STOUT ANP
NPI 1407048150
Nurse Practitioner - Adult Health in Penn Yan, NY

Active since August 16, 2007
166 SOUTH AVE, PENN YAN, NY 14527(315) 729-0021(315) 531-2268 Get Directions Write a Review

NPPES record last updated: August 16, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelley Maureen Stout Anp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLEY MAUREEN STOUT ANP (NPI 1407048150) is an individual adult health provider in Penn Yan, New York, licensed in New York (F30-302516) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1407048150
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKELLEY MAUREEN STOUTCredential: ANP
Location Address166 SOUTH AVEPenn Yan, NY 14527-1820
Mailing Address166 South AvePenn Yan, NY 14527-1820 · (315) 729-0021 · Fax (315) 531-2268
Phone(315) 729-0021
Fax(315) 531-2268
Sole ProprietorYes
Enumeration DateAugust 16, 2007
✔ NPI 1407048150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F30-302516
166 SOUTH AVE, Penn Yan, NY 14527
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Other Names 1

Former Name (1)Kelley Stout Barry

Other Identifiers 2

Medicaid02049594NY
Medicare UPINCC4047NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelley Stout's NPI number?

The NPI number for Kelley Stout is 1407048150. It was assigned to this individual provider in the NPPES registry on August 16, 2007. The provider is also known as Kelley Stout Barry.

Where is Kelley Stout located?

Kelley Stout practices at 166 South Ave, Penn Yan, NY 14527. The listed phone number is (315) 729-0021.

What is Kelley Stout's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Kelley Stout was last updated on August 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.