Provider Demographics
NPI:1265915110
Name:STONER, KAMIE NICOLE (MS RDN LD CLT)
Entity type:Individual
Prefix:MRS
First Name:KAMIE
Middle Name:NICOLE
Last Name:STONER
Suffix:
Gender:F
Credentials:MS RDN LD CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1909 SHERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45044-4456
Mailing Address - Country:US
Mailing Address - Phone:513-258-4824
Mailing Address - Fax:
Practice Address - Street 1:1909 SHERMAN AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044-4456
Practice Address - Country:US
Practice Address - Phone:513-258-4824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-06
Last Update Date:2018-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5615133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered