Individual
DR. KEN J STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY D
Contact information
Practice address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 461-5600
(701) 461-5649
Mailing address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 461-5600
(701) 461-5649
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
ND 244
ND
103TP0814X
Psychoanalysis Psychologist
Primary
244
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
026767
BCBS OF ND PIN
ND
05
—
084314800
—
MN
01
—
13475
BSBS OF MN PIN
MN
Enumeration date
07/10/2006
Last updated
01/07/2008
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