| Kathryn K Stout, MD | |
| 102 Dmv Dr, Kilmarnock, VA 22482-3843 | |
| (804) 436-8038 | |
| (804) 435-6029 | 
| Full Name | Kathryn K Stout | 
|---|---|
| Gender | Female | 
| Speciality | Obstetrics & Gynecology | 
| Location | 102 Dmv Dr, Kilmarnock, Virginia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1023092608 | NPI | - | NPPES | 
| 1023092608 | Medicaid | VA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 0101046636 (Virginia) | Primary | 
| Entity Name | Virginia Womens Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1740594332 PECOS PAC ID: 2163604588 Enrollment ID: O20110307000629 | 
| Entity Name | Privia Medical Group Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20140603000011 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kathryn K Stout, MD 7130 Glen Forest Dr, Suite 101, Richmond, VA 23226-3754 Ph: (804) 288-4048 | Kathryn K Stout, MD 102 Dmv Dr, Kilmarnock, VA 22482-3843 Ph: (804) 436-8038 | 
| James F Hamilton, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 95 Harris Rd, Kilmarnock, VA 22482 Phone: 804-435-0023 Fax: 804-435-0025 | |
| Dr. Matthew Frederick Vogel, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 102 Dmv Dr, Kilmarnock, VA 22482 Phone: 804-288-4084 Fax: 804-559-2046 | |
| Dr. Peter C Earl, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 102 Dmv Dr, Kilmarnock, VA 22482 Phone: 804-288-4084 |