Provider Demographics
NPI:1437844909
Name:STONER, KIRK (C-APN, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:KIRK
Middle Name:
Last Name:STONER
Suffix:
Gender:M
Credentials:C-APN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7209 GRAND PRAIRIE DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923-8799
Mailing Address - Country:US
Mailing Address - Phone:308-237-9202
Mailing Address - Fax:
Practice Address - Street 1:630 SOUTHPOINTE CT
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-3896
Practice Address - Country:US
Practice Address - Phone:719-249-8638
Practice Address - Fax:719-249-8592
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-10
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1689067163W00000X
COAPN.0998620-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse