Healthcare Provider Details

I. General information

NPI: 1316754609
Provider Name (Legal Business Name): RNC PODIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2024
Last Update Date: 08/23/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 SPRUCE DR
SLIPPERY ROCK PA
16057-1412
US

IV. Provider business mailing address

230 WHISPERING OAKS DR
CRANBERRY TWP PA
16066-3162
US

V. Phone/Fax

Practice location:
  • Phone: 724-793-7293
  • Fax: 724-203-9010
Mailing address:
  • Phone: 724-793-7293
  • Fax: 724-203-9010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: KEVIN MICHAEL STONESTREET
Title or Position: OWNER
Credential:
Phone: 330-717-4148