Provider Demographics
NPI:1093819369
Name:STONE, KIMBERLY C (MD)
Entity type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:C
Last Name:STONE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:
Other - Last Name:CRAPO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3701 S CLARKSON ST STE 320
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3960
Mailing Address - Country:US
Mailing Address - Phone:303-740-4883
Mailing Address - Fax:720-542-7726
Practice Address - Street 1:3701 S CLARKSON ST
Practice Address - Street 2:STE 300
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3960
Practice Address - Country:US
Practice Address - Phone:303-806-8600
Practice Address - Fax:303-806-8629
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO38869207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
COG49641Medicare UPIN