Stone, Kenneth Samuel

Stone, Kenneth Samuel is an individual health care provider with primary practice located at 1116 N 16Th St Suite A, Lafayette IN 47904-2119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Stone, Kenneth Samuel can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
1116 N 16Th St Suite A Lafayette IN 47904-2119
Phone: (765) 448-8000
Fax: (765) 448-8054
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 01036689A Indiana

Profile Details

NPI number 1770542441
LBN Legal business name Stone, Kenneth Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Feb 20th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770542441 NPPES
Indiana Other 9009635 PHCS PID NUMBER
Indiana Other 10826030 PHCS PID NUMBER
Indiana MEDICAID 100087540 PHCS PID NUMBER
Indiana MEDICAID ST15638033 PHCS PID NUMBER
Indiana Other 000000197821 PHCS PID NUMBER

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