Provider Demographics
NPI:1245597780
Name:STONE, AUSTIN VINCENT (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:AUSTIN
Middle Name:VINCENT
Last Name:STONE
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 SOUTH LIMESTONE
Mailing Address - Street 2:SUITE K401
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40356-0284
Mailing Address - Country:US
Mailing Address - Phone:859-323-5533
Mailing Address - Fax:859-323-2412
Practice Address - Street 1:740 SOUTH LIMESTONE
Practice Address - Street 2:SUITE K401
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40356-0284
Practice Address - Country:US
Practice Address - Phone:859-323-5533
Practice Address - Fax:859-323-2412
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-23
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC390200000X
KY51739207XX0005X, 207X00000X
IN01078535A207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery