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NPI Code Detail

MEDICARE: REBECCA A KANELLOS STONE RN

MEDICARE:   REBECCA A KANELLOS STONE  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse253519MA

General Provider Information

NPI Number : 1043331762
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA A KANELLOS STONE RN
Provider Business Mailing Address
First Line : 3 CEDAR CIR
Second Line :
City : SANDOWN
State : NH
Zip : 03873-2538
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3 CEDAR CIR
Second Line :
City : SANDOWN
State : NH
Zip : 03873-2538
Country : US
Telephone Number : 603-887-3639
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2007
Last Update Date : 07/08/2007

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Directions to “ REBECCA A KANELLOS STONE RN” Practice Location

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