Individual
KAYE STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
525 E GRANT ST, MACOMB, IL 61455-3313
(309) 836-1624
Mailing address
525 E GRANT ST, MACOMB, IL 61455-3313
(309) 836-1624
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2016001664
MO
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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