Individual
JESSICA A STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7405 RENNER RD, SHAWNEE, KS 66217-9414
(913) 588-8465
(913) 588-2274
Mailing address
7405 RENNER RD, SHAWNEE, KS 66217-9414
(913) 588-8465
(913) 588-2274
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0431835
KS
207R00000X
Internal Medicine Physician
946203
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2004610400
—
KS
05
—
200461040C
—
KS
05
—
200461040E
—
KS
Enumeration date
05/01/2007
Last updated
08/29/2019
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