Kelly Stout, PHD - Psychologist in Salt Lake City, UT

Kelly Stout, PHD is a Psychologist based in Salt Lake City, Utah. Kelly Stout is licensed to practice in Utah (license number 6022766-2501) and her current practice location is 295 S Chipeta Way, Salt Lake City, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 213-3469.

NPI number for Kelly Stout is 1013395128 and her current mailing address is 127 S. 500 E, Suite 600, Salt Lake City, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013395128.

Contact Information

Kelly Stout, PHD
295 S Chipeta Way,
Salt Lake City, UT 84108-1287
(801) 213-3469
Not Available



Healthcare Provider's Profile

Full NameKelly Stout
GenderFemale
SpecialityPsychologist
Location295 S Chipeta Way, Salt Lake City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013395128
  • Provider Enumeration Date: 05/08/2015
  • Last Update Date: 11/23/2021

Medical Identifiers

Medical identifiers for Kelly Stout such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013395128NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 6022766-2501 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Stout is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Stout, PHD
127 S. 500 E, Suite 600,
Salt Lake City, UT 84102-1971

Ph: (801) 587-6336
Kelly Stout, PHD
295 S Chipeta Way,
Salt Lake City, UT 84108-1287

Ph: (801) 213-3469

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› Verified 3 days ago


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