Kenneth S Stone DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

Legal business name

KENNETH S STONE DPM

Practice address

1717 W Church St
Freeport, IL 61032-4695

Phone

(815) 235-4231

Fax

(815) 233-9531

NPI assigned

Dec 18, 2006

Last updated

Jan 11, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenneth S Stone, D.P.M.

Title

Owner

Phone

(815) 235-4231

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1447313929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W CHURCH ST",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610324695",
            "telephone_number": "815-235-4231",
            "fax_number": "815-233-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W CHURCH ST",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610324695",
            "telephone_number": "815-235-4231",
            "fax_number": "815-233-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH S STONE DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-235-4231",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Foot & Ankle Surgery Podiatrist in Freeport, IL
• Providers in Freeport, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.