Individual
KILEY STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 HIGH PARK AVE, GOSHEN, IN 46526-4810
(574) 364-1000
Mailing address
28 HIGHLAND DR, WABASH, IN 46992-2124
(260) 377-8389
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004880A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2025
Last updated
07/17/2025
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