Stone, Kelly

Stone, Kelly is an individual health care provider with primary practice located at 1752 Windsor Rd Ste 203 , Loves Park IL 61111-4276. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Stone, Kelly can be contacted via phone (815) 986-1113.

Contact Information

Primary practice address
1752 Windsor Rd Ste 203 Loves Park IL 61111-4276
Phone: (815) 986-1113
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1104464767 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209.020616 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 277.001677 Illinois

Profile Details

NPI number 1104464767
LBN Legal business name Stone, Kelly
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2019
Last updated Feb 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104464767 NPPES
Illinois Other 277.001677 LICENSE NUMBER

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