Stone, W Kenneth

Stone, W Kenneth is an individual health care provider with primary practice located at 2656 Edith Ave Suite B, Redding CA 96001-3030. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Stone, W Kenneth can be contacted via phone (530) 244-2882.

Contact Information

Primary practice address
2656 Edith Ave Suite B Redding CA 96001-3030
Fax: (530) 244-3703
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A36413 California
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X A36413 California

Profile Details

NPI number 1275621823
LBN Legal business name Stone, W Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Oct 23rd, 2012 - about 12 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 1275621823 NPPES
California MEDICAID 00C369420

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