Provider Demographics
NPI:1962767806
Name:STONE, APRIL LEE
Entity type:Individual
Prefix:
First Name:APRIL
Middle Name:LEE
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 1:502 E HAPPY VALLEY ST
Mailing Address - Street 2:
Mailing Address - City:CAVE CITY
Mailing Address - State:KY
Mailing Address - Zip Code:42127-8845
Mailing Address - Country:US
Mailing Address - Phone:270-773-2101
Mailing Address - Fax:270-773-2104
Practice Address - Street 1:502 E HAPPY VALLEY ST
Practice Address - Street 2:
Practice Address - City:CAVE CITY
Practice Address - State:KY
Practice Address - Zip Code:42127-8845
Practice Address - Country:US
Practice Address - Phone:270-773-2101
Practice Address - Fax:270-773-2104
Is Sole Proprietor?:No
Enumeration Date:2012-07-06
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY009246183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0537670365Medicare PIN