Provider Demographics
NPI:1003865353
Name:STONE, KERRY B (MD)
Entity Type:Individual
Prefix:DR
First Name:KERRY
Middle Name:B
Last Name:STONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 W GERMANTOWN PIKE
Mailing Address - Street 2:SUITE C-2
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19401-1389
Mailing Address - Country:US
Mailing Address - Phone:610-277-2750
Mailing Address - Fax:
Practice Address - Street 1:170 W. GERMANTOWN PIKE
Practice Address - Street 2:NORRITON OFFICE CENTER, SUITE C-2
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19401-1389
Practice Address - Country:US
Practice Address - Phone:610-277-2750
Practice Address - Fax:610-277-7949
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD425555207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2683008OtherUNITED HEALTHCARE
PAP00322554OtherRAILROAD MEDICARE
PA2742970000OtherKEYSTONE
PA1856308OtherBLUE SHIELD
PA2584OtherAETNA
PA2742970000OtherPERSONAL CHOICE
PA101600GQTMedicare PIN
PA2584OtherAETNA