Stout, Keith B
Stout, Keith B is an individual health care provider with primary practice located at 3480 College St , Beaumont TX 77701-4612. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Stout, Keith B can be contacted via phone (409) 813-1677.Contact Information
Primary practice address
3480 College St
Beaumont TX 77701-4612
Phone: (409) 813-1677
Fax: (409) 730-1399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | E9428 | Texas |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | E9428 | Texas |
Profile Details
| NPI number | 1053314393 |
|---|---|
| LBN Legal business name | Stout, Keith B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Jan 19th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053314393 | NPPES |
| Texas | MEDICAID | 137850712 |
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