Provider Demographics
NPI:1598463069
Name:RNC PODIATRY
Entity Type:Organization
Organization Name:RNC PODIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:STONESTREET
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:724-355-5111
Mailing Address - Street 1:675 N BROAD STREET EXT STE 2
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16127-5805
Mailing Address - Country:US
Mailing Address - Phone:724-450-1144
Mailing Address - Fax:724-450-1140
Practice Address - Street 1:675 N BROAD STREET EXT STE 2
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:PA
Practice Address - Zip Code:16127-5805
Practice Address - Country:US
Practice Address - Phone:724-450-1144
Practice Address - Fax:724-450-1140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty