Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 11993 | MT |
N | 208000000X | Pediatrician | 4906 | SD |
N | 2080P0207X | Pediatric Hematology-Oncologist | 11897 | ND |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 24847 | WV |
N | 2080P0207X | Pediatric Hematology-Oncologist | 29771 | AL |
N | 2080P0207X | Pediatric Hematology-Oncologist | 311631 | LA |
NPI | 1083660328 |
---|---|
Provider Name | Dr. Linda A Stout |
First Address | Huntington, WV 25701-3800 |
Second Address | Huntington, WV 25701-4114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 21/08/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H49169 | (02) |