Provider Demographics
NPI:1013464403
Name:STONE, MARY-KATHERINE
Entity Type:Individual
Prefix:
First Name:MARY-KATHERINE
Middle Name:
Last Name:STONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228 MAPLE ST APT 6
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-4552
Mailing Address - Country:US
Mailing Address - Phone:205-353-2142
Mailing Address - Fax:
Practice Address - Street 1:297 COLLEGE ST APT C-6
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-8343
Practice Address - Country:US
Practice Address - Phone:205-353-2142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-02
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital