Kathryn K Stout, MD | |
102 Dmv Dr, Kilmarnock, VA 22482-3843 | |
(804) 436-8038 | |
(804) 435-6029 |
Full Name | Kathryn K Stout |
---|---|
Gender | Female |
Speciality | Obstetrics & Gynecology |
Location | 102 Dmv Dr, Kilmarnock, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023092608 | NPI | - | NPPES |
1023092608 | Medicaid | VA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 0101046636 (Virginia) | Primary |
Entity Name | Virginia Womens Center Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740594332 PECOS PAC ID: 2163604588 Enrollment ID: O20110307000629 |
Entity Name | Privia Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 |
Mailing Address | Practice Location Address |
---|---|
Kathryn K Stout, MD 7130 Glen Forest Dr, Suite 101, Richmond, VA 23226-3754 Ph: (804) 288-4048 | Kathryn K Stout, MD 102 Dmv Dr, Kilmarnock, VA 22482-3843 Ph: (804) 436-8038 |
James F Hamilton, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 95 Harris Rd, Kilmarnock, VA 22482 Phone: 804-435-0023 Fax: 804-435-0025 | |
Dr. Matthew Frederick Vogel, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 102 Dmv Dr, Kilmarnock, VA 22482 Phone: 804-288-4084 Fax: 804-559-2046 |