| Kemberly Amanda Stone, PA-C | |
|
453 Lakes Blvd Suite B, Lake Park Family Care Clinic, Lake Park, GA 31636 | |
| (229) 588-2866 | |
| Not Available |
| Full Name | Kemberly Amanda Stone |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 453 Lakes Blvd Suite B, Lake Park, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639208333 | NPI | - | NPPES |
| 05480 | Other | GA | GEORGIA MEDICAL LICENSE NUMBER: 05480 EXPIRATION 01/31/2016 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 05480 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kemberly Amanda Stone, PA-C 453 Lakes Blvd, Suite B, Lake Park, GA 31636-6607 Ph: (229) 588-2866 | Kemberly Amanda Stone, PA-C 453 Lakes Blvd Suite B, Lake Park Family Care Clinic, Lake Park, GA 31636 Ph: (229) 588-2866 |