Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | 0420987 | KS |
NPI | 1134180904 |
---|---|
Provider Name | Chester W Stone |
First Address | Salina, KS 67402 |
Second Address | Emporia, KS 66801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0420987 | LICENSE NUMBER (01) | KS |
AS1190761 | DEA (01) | KS |
B69212 | (02) |