Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0201X | Pediatric Allergist | 0101236683 | VA |
N | 2080P0201X | Pediatric Allergist | D0061853 | MD |
Y | 2080P0201X | Pediatric Allergist | MD31795 | DC |
NPI | 1417957879 |
---|---|
Provider Name | Dr. Kelly D. Stone |
First Address | Kensington, MD 20895-2310 |
Second Address | Washington, DC 20010-2978 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2005 |
Last Update Date | 08/07/2007 |