Individual
W KENNETH STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2656 EDITH AVE, SUITE B, REDDING, CA 96001-3030
(530) 244-2882
(530) 244-3703
Mailing address
2656 EDITH AVE, SUITE B, REDDING, CA 96001-3030
(530) 244-2882
(530) 244-3703
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A36413
CA
2086S0129X
Vascular Surgery Physician
Primary
A36413
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C369420
—
CA
Enumeration date
10/10/2006
Last updated
10/23/2012
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