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Individual

DR. KENNETH DAVID STONE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
121 SMITH AVE, SIKESTON, MO 63801-5239
(573) 471-0200
(573) 472-3026
Mailing address
121 SMITH AVE, SIKESTON, MO 63801-5239
(573) 471-0200
(573) 472-3026

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37010
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
203159215
MO
Enumeration date
09/21/2005
Last updated
03/21/2017
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