Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 104100000X | Social Worker | ||
Y | 104100000X | Social Worker | CSW6920 | KY |
NPI | 1003092602 |
---|---|
Provider Name | Mrs. Krystal Gail Stone |
First Address | Mt Washington, KY 40047 |
Second Address | Owensboro, KY 42301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2008 |
Last Update Date | 07/03/2018 |