Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | MD425555 | PA |
NPI | 1003865353 |
---|---|
Provider Name | Dr. Kerry B. Stone |
First Address | East Norriton, PA 19401-1389 |
Second Address | East Norriton, PA 19401-1389 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2006 |
Last Update Date | 04/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1856308 | BLUE SHIELD (01) | PA |
2584 | AETNA (01) | PA |
2683008 | UNITED HEALTHCARE (01) | PA |
2742970000 | KEYSTONE (01) | PA |
2742970000 | PERSONAL CHOICE (01) | PA |
I53690 | (02) | PA |
P00322554 | RAILROAD MEDICARE (01) | PA |