Individual
KIMBERLY STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10705 W PEORIA AVE, SUN CITY, AZ 85351-4061
(623) 259-6749
Mailing address
PO BOX 746093, ATLANTA, GA 30374-6093
(773) 352-1517
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27668
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102113
MEDICARE-TYPE UNSPECIFIED
AZ
01
—
102147
MEDICARE-TYPE UNSPECIFIED
AZ
01
—
110238540
RR MEDICARE
AZ
01
—
AZ0716570
BCBS
AZ
Enumeration date
03/27/2006
Last updated
04/11/2024
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