MS. KATHLEEN ANNE EVAN-STOUT (NPI# 1780835942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780835942 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN ANNE EVAN-STOUT |
| Credential | PT |
| Practice Address |
200 2nd Ave Kingston PA 18704-5722 |
| Practice Telephone | 5702889315 |
| Mailing Telephone | 5702889315 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
PT009351L | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
200 2ND AVE |
| City | KINGSTON |
| State | PA |
| Zip Code | 18704-5722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952357659 | Manor Care of Kingston Pa LLC | Skilled Nursing Facility | 200 2nd Ave, Kingston, PA 18704-5722 | 2006-05-25 |
| 1326660036 | Kimberly Ann Scott | Occupational Therapist | 200 2nd Ave, Kingston, PA 18704-5722 | 2020-05-15 |
| 1215370986 | Kevin Thomas Dpm PC | Podiatrist | 200 2nd Ave, Kingston, PA 18704-5722 | 2013-04-12 |
| 1447495791 | Lorraine A Symons | Physical Therapy Assistant | 200 2nd Ave, Kingston, PA 18704-5722 | 2008-12-15 |
| 1588816904 | Eileen Catherine Miller | Occupational Therapist | 200 2nd Ave, Kingston, PA 18704-5722 | 2008-10-16 |
| 1023260809 | Peter Nguyen | Occupational Therapist | 200 2nd Ave, Kingston, PA 18704-5722 | 2008-10-13 |
| 1316198153 | Jennifer Christine Miller | Occupational Therapy Assistant | 200 2nd Ave, Kingston, PA 18704-5722 | 2008-10-09 |
| 1912158767 | Carol Marie Rentsch | Occupational Therapy Assistant | 200 2nd Ave, Kingston, PA 18704-5722 | 2008-10-09 |
| 1528219797 | Sara M Maculloch | Physical Therapy Assistant | 200 2nd Ave, Kingston, PA 18704-5722 | 2008-10-07 |
| 1164673323 | Vidette R Joseph | Physical Therapy Assistant | 200 2nd Ave, Kingston, PA 18704-5722 | 2008-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205151040 | Pamela Jean Pellegrini | Physical Therapist | 36 Bay Farm Rd, Kingston, MA 02364-1555 | 2010-04-05 |
| 1356966840 | John Giampietro | Physical Therapist | 601 Wyoming Ave, Kingston, PA 18704-3701 | 2020-06-10 |
| 1740431915 | Kelly Shaw | Physical Therapist | 200 2nd Ave, Kingston, PA 18704-5722 | 2008-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003382334 | Doriean Broady | Physical Therapist | 4902 Arch St Unit 1, Philadelphia, PA 19139-2727 | 2018-10-14 |
| 1790286680 | Shayla J Brown | Physical Therapist | 5928 Old French Rd Unit 3, Erie, PA 16509-3656 | 2018-02-26 |
| 1275033656 | Marika Desanctis | Physical Therapist | 2955 Adams Way, Riegelsville, PA 18077 | 2018-02-13 |
| 1871020438 | Andrew Lam | Physical Therapist | 8720 Verree Rd, Philadelphia, PA 19115-3610 | 2017-05-15 |
| 1144683111 | Rachana Sachdeva | Physical Therapist | 440 York Rd, Jenkintown, PA 19046-2853 | 2016-03-29 |
| 1184092926 | Ellen G Kalikow | Physical Therapist | 1787 Oak Hill Dr, Huntingdon Valley, PA 19006-7727 | 2015-09-10 |
| 1538536321 | Kristina Grande | Physical Therapist | 101 Cheyenne Dr, Old Forge, PA 18518-1581 | 2015-08-27 |
| 1740677848 | Regina Anne Hoffman | Physical Therapist | 25 James Rd, Broomall, PA 19008-1409 | 2015-04-16 |
| 1740680065 | Dorothy Brown | Physical Therapist | 2836 W 33rd St, Erie, PA 16506-3306 | 2014-08-25 |
| 1700285251 | Sreenivas Paluvayi | Physical Therapist | 115 Brookfield Cir, Macungie, PA 18062-1144 | 2014-08-21 |
| Find all providers with the same taxonomy | ||||
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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.