Provider Demographics
NPI:1134180904
Name:STONE, CHESTER W (MD)
Entity type:Individual
Prefix:
First Name:CHESTER
Middle Name:W
Last Name:STONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 256
Mailing Address - Street 2:2121 CRAWFORD PLACE
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67402
Mailing Address - Country:US
Mailing Address - Phone:785-823-0633
Mailing Address - Fax:785-823-0658
Practice Address - Street 1:1401 W 12TH AVE
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:KS
Practice Address - Zip Code:66801
Practice Address - Country:US
Practice Address - Phone:620-342-1117
Practice Address - Fax:320-342-1185
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-31
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS0420987207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0420987OtherLICENSE NUMBER
KSAS1190761OtherDEA
KS103186Medicare ID - Type Unspecified
KSAS1190761OtherDEA