KEVAN STOUT (NPI# 1275902397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275902397 |
| Entity Type | Individual |
| Full Name | KEVAN STOUT |
| Credential | PA-C |
| Practice Address |
2790 Clay Edwards Dr Ste 1250 North Kansas City MO 64116-3260 |
| Mailing Address |
1684 E Tiara Pines Cir Derby KS 67037-3926 |
| Practice Telephone | 8164213700 |
| Practice Fax Number | 8164213700 |
| Mailing Telephone | 3162594791 |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 N Bryant Ave # 100, Edmond, OK 730346273 | 4053302362 |
| Street Address |
2790 CLAY EDWARDS DR STE 1250 |
| City | NORTH KANSAS CITY |
| State | MO |
| Zip Code | 64116-3260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437193133 | Debra E Mcconville | Nurse Practitioner | 2790 Clay Edwards Dr Ste 1250, C/o Hellman & Rosen Endocrine, North Kansas City, MO 64116-3260 | 2006-06-15 |
| 1306478193 | Mayra Salazar | Nurse Practitioner | 2790 Clay Edwards Dr Ste 1250, North Kansas City, MO 64116-3260 | 2020-02-10 |
| 1285295188 | Dylan Todd Smith-sutton | Physician Assistant | 2790 Clay Edwards Dr Ste 1250, North Kansas City, MO 64116-3260 | 2019-06-22 |
| 1659731271 | Kelly Schrock | Dietitian, Registered | 2790 Clay Edwards Dr Ste 1250, C/o Hellman & Rosen Endocrine, North Kansas City, MO 64116-3260 | 2016-02-24 |
| 1629464631 | Duyen Thi My Nguyen | Nurse Practitioner | 2790 Clay Edwards Dr Ste 1250, North Kansas City, MO 64116-3260 | 2015-04-07 |
| 1043612609 | Samantha Kisicki | Physician Assistant | 2790 Clay Edwards Dr Ste 1250, North Kansas City, MO 64116-3260 | 2014-09-25 |
| 1396085395 | Misty Nicole Stambach | Physician Assistant | 2790 Clay Edwards Dr Ste 1250, North Kansas City, MO 64116-3260 | 2013-02-27 |
| 1700150968 | Michelle Tremain | Nurse Practitioner | 2790 Clay Edwards Dr Ste 1250, North Kansas City, MO 64116-3260 | 2012-03-05 |
| 1245523141 | Avin Pothuloori | Internal Medicine | 2790 Clay Edwards Dr Ste 1250, C/o Hellman & Rosen Endocrine, North Kansas City, MO 64116-3260 | 2011-05-25 |
| 1952634297 | Ryane Meridyth Riddle | Nurse Practitioner | 2790 Clay Edwards Dr Ste 1250, North Kansas City, MO 64116-3260 | 2009-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326503830 | Ladeja Holland | Student in an Organized Health Care Education/Training Program | 4421 N Oak Trfy, Kansas City, MO 64116 | 2019-02-08 |
| 1982179388 | Casady's Counseling | Counselor | 1201 Nw Briarcliff Pkwy Ste 200 Office233, Kansas City, MO 64116 | 2018-10-11 |
| 1427543818 | Amanda E Foster | Physical Therapist | 3810 N Mulberry Drive 202, Kansas City, MO 64116 | 2018-06-27 |
| 1992290555 | Lucas J Mathes | Physician Assistant | 2790 Clay Edwards Drive, Suite 650, North Kansas City, MO 64116 | 2018-06-26 |
| 1952828816 | Danielle Marie Rush | Physical Therapist | 1501 Nw 38th St., Apt. 305, Kansas City, MO 64116 | 2017-08-23 |
| 1992229629 | Ankita Bhakta | Physical Therapy Assistant | 4407 N Mulberry Dr, Kansas City, MO 64116 | 2017-08-03 |
| 1720430945 | Deon Hicks | Physical Therapist | 851 Nw 45th Street, Suite 209, Kansas City, MO 64116 | 2016-07-12 |
| 1851712228 | Cindy Eldridge | Counselor | 1201 Nw Briarcliff Pkwy Ste 200, Kansas City, MO 64116 | 2014-01-02 |
| 1841629904 | Jamie Lyn Jackson | Specialist/Technologist | 2790 Clay Edwards Dr. Ste #650, North Kansas City, MO 64116 | 2013-11-08 |
| 1487099388 | Lisa M Grasing | Family Medicine | 4150 N. Mulberry Dr, Suite 160, Kansas City, MO 64116 | 2013-05-06 |
| Find all providers in zip 64116 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285295188 | Dylan Todd Smith-sutton | Physician Assistant | 2790 Clay Edwards Dr Ste 1250, North Kansas City, MO 64116-3260 | 2019-06-22 |
| 1043612609 | Samantha Kisicki | Physician Assistant | 2790 Clay Edwards Dr Ste 1250, North Kansas City, MO 64116-3260 | 2014-09-25 |
| 1396085395 | Misty Nicole Stambach | Physician Assistant | 2790 Clay Edwards Dr Ste 1250, North Kansas City, MO 64116-3260 | 2013-02-27 |
| 1245480276 | Kate Romohr Bachman | Physician Assistant | 2790 Clay Edwards Dr, Suite 1230, North Kansas City, MO 64116-3276 | 2008-09-26 |
| 1740230077 | Katherine Gale Ervie | Physician Assistant | 2790 Clay Edwards Dr, Suite 1230, North Kansas City, MO 64116-3276 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922628528 | Sarah Benson | Physician Assistant | 26791 Andrews Ln, Warrenton, MO 63383-6240 | 2020-04-23 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1912538752 | Karen Anghel | Physician Assistant | 804 S Kisner Dr, Independence, MO 64056-3062 | 2020-01-30 |
| 1457822082 | Jwan Alallaf | Physician Assistant | 4121 Roanoke Rd Apt 18, Kansas City, MO 64111-4053 | 2018-12-07 |
| 1730602921 | Saurav N Kayastha | Physician Assistant | 13013 Fuller Ave Ste A, Grandview, MO 64030-2687 | 2017-07-19 |
| 1891227393 | Hollis Smith | Physician Assistant | 2015 Maplewood Commons Dr, Saint Louis, MO 63143-1003 | 2017-04-03 |
| 1992165104 | Cassie Mcgee | Physician Assistant | 1051 Jones St, Kennett, MO 63857-3866 | 2016-03-01 |
| 1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
| 1699084814 | Travis James Weiss | Physician Assistant | 6724 State Highway 77, Benton, MO 63736-8238 | 2010-10-05 |
| 1235453150 | James F Patton | Physician Assistant | 913 South St, Stockton, MO 65785-9381 | 2010-03-22 |
| Find all providers with the same taxonomy | ||||
| City | NORTH KANSAS CITY |
| Zip Code | 64116 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.