Kendall Dean Stout (NPI# 1346621588, PAC ID# 3274847033) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1346621588 |
| PAC ID by PECOS | 3274847033 |
| Professional Enrollment ID | I20150806012221 |
| Full Name | Kendall Dean Stout |
| Address |
2634 S Carrier Pkwy Suite 101 Grand Prairie TX 75052-5005 |
| Gender | M |
| Medical School | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
| Graduation Year | 2015 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2634 S Carrier Pkwy, Suite 101, Grand Prairie, TX 75052-5005 |
| Street Address |
2634 S CARRIER PKWY SUITE 101 |
| City | GRAND PRAIRIE |
| State | TX |
| Zip | 75052-5005 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tami Barton | Nurse Practitioner | Dfw Better Care Physicians, Pllc | 5204 S Hwy 360, Suite 400, Grand Prairie, TX 75052-0947 |
| Jeffrey J Fisher | Family Medicine | Clinical Practice Support Services | 5204 S State Hwy 360, Suite 400, Grand Prairie, TX 75052-0947 |
| Amanda Etheridge | Nurse Practitioner | Clinical Practice Support Services | 5204 S State Hwy 360, Suite 400, Grand Prairie, TX 75052-0947 |
| Mary M Will | Nurse Practitioner | Clinical Practice Support Services | 5204 S State Hwy 360, Suite 400, Grand Prairie, TX 75052-0947 |
| Barbara Davis | Nurse Practitioner | Clinical Practice Support Services | 5204 S State Hwy 360, Grand Prairie, TX 75052-0947 |
| Nadia Takieddine | Internal Medicine | Medhealth | 5224 S State Hwy 360, Methodist Family Health Center Lake Prairie, Grand Prairie, TX 75052-0950 |
| Emily R Kerrigan | Physician Assistant | Medhealth | 5224 S State Hwy 360, Methodist Family Health Center Lake Prairie, Grand Prairie, TX 75052-0950 |
| Kendra M Knowles | Physician Assistant | Medhealth | 5224 S State Hwy 360, Methodist Family Health Center Lake Prairie, Grand Prairie, TX 75052-0950 |
| Paul Samuel Hackett | Colorectal Surgery (proctology) | Medhealth | 5224 S State Hwy 360, Methodist Family Health Center Lake Prairie, Grand Prairie, TX 75052-0950 |
| Amy Renee Lewis | Nurse Practitioner | Medhealth | 5224 S State Hwy 360, Methodist Family Health Center Lake Prairie, Grand Prairie, TX 75052-0950 |
| Find all physicians in zip 75052 | |||
| City | GRAND PRAIRIE |
| Zip Code | 75052 |
| Specialty | OPTOMETRY |
| City + Specialty | GRAND PRAIRIE + OPTOMETRY |
Please comment or provide details below to improve the information on Kendall Dean Stout.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.