Healthcare Provider Details

I. General information

NPI: 1093721078
Provider Name (Legal Business Name): MONICA ANN STONE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MONICA ANN STONE M.D.

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 03/07/2025
Certification Date: 06/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

462 COMMERCE DRIVE
GREENSBURG KY
42743
US

IV. Provider business mailing address

PO BOX 1080
BURKESVILLE KY
42717-1080
US

V. Phone/Fax

Practice location:
  • Phone: 270-932-2424
  • Fax: 270-932-2522
Mailing address:
  • Phone: 270-858-6655
  • Fax: 270-858-4027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberME97258
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number36979
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number30373
License Number StateSC
# 4
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number36979
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: