| Stone Family Practice Pllc | |
|
1019 Paducah Rd Ste B Mayfield KY 42066-3616 | |
| (270) 970-0924 | |
| (866) 985-7514 |
| Full Name | Stone Family Practice Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1019 Paducah Rd Ste B, Mayfield, Kentucky |
| Authorized Official Name and Position | Richard Darren Stone (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2708047408 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stone Family Practice Pllc 1019 Paducah Rd Ste B Mayfield KY 42066-3616 Ph: (270) 970-0924 | Stone Family Practice Pllc 1019 Paducah Rd Ste B Mayfield KY 42066-3616 Ph: (270) 970-0924 |
| NPI Number | 1609217868 |
|---|---|
| Provider Enumeration Date | 07/16/2013 |
| Last Update Date | 04/23/2024 |
| Medicare PECOS PAC ID | 2365685062 |
|---|---|
| Medicare Enrollment ID | O20130828000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609217868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Jennifer Kaye Wilkerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013231786 PECOS PAC ID: 9032248927 Enrollment ID: I20100602000943 |
| Provider Name | Amanda Kimbler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174864516 PECOS PAC ID: 7618118241 Enrollment ID: I20130724000865 |
| Provider Name | Richard Stone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508178336 PECOS PAC ID: 5698920817 Enrollment ID: I20130828000553 |
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