Healthcare Provider Details

I. General information

NPI: 1912967043
Provider Name (Legal Business Name): KENNETH ALLEN STONE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

Provider Other Name: KEN A STONE M.D.

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7500 COCHRANE EVANS ARMY COMMUNITY HOSPITAL BLDG2059 MAGRATH AND YANO
FORT CARSON CO
80913
US

IV. Provider business mailing address

19845 HAMAL DR
MONUMENT CO
80132-9717
US

V. Phone/Fax

Practice location:
  • Phone: 719-526-2939
  • Fax:
Mailing address:
  • Phone: 719-481-9258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25002
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code2083P0500X
TaxonomyPreventive Medicine/Occupational Environmental Medicine Physician
License Number25002
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: