Provider Demographics
NPI:1639230139
Name:STONE, KATHLEEN PALCHANES (MA,RN,APN,C)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:PALCHANES
Last Name:STONE
Suffix:
Gender:F
Credentials:MA,RN,APN,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:490 SCHOOLEYS MOUNTAIN RD
Mailing Address - Street 2:HASTINGS COMMONS BLDG 3A
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-4002
Mailing Address - Country:US
Mailing Address - Phone:908-797-7742
Mailing Address - Fax:908-979-9920
Practice Address - Street 1:490 SCHOOLEYS MOUNTAIN RD
Practice Address - Street 2:HASTINGS COMMONS BLDG 3A
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-4002
Practice Address - Country:US
Practice Address - Phone:908-797-7742
Practice Address - Fax:908-979-9920
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NC05401100163WP0809X
NJ163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Not Answered163WG0600XNursing Service ProvidersRegistered NurseGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0147998OtherANCC APRN BC ADULT PSY
NJP00144600OtherCDS
NJMS0949810OtherDEA
NJP00144600OtherCDS
024387Medicare ID - Type Unspecified