Provider Demographics
NPI:1316754609
Name:RNC PODIATRY
Entity type:Organization
Organization Name:RNC PODIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:STONESTREET
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:330-717-4148
Mailing Address - Street 1:313 FORD ST STE 3B
Mailing Address - Street 2:
Mailing Address - City:FORD CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16226-1268
Mailing Address - Country:US
Mailing Address - Phone:724-763-4080
Mailing Address - Fax:724-763-4083
Practice Address - Street 1:313 FORD ST STE 3B
Practice Address - Street 2:
Practice Address - City:FORD CITY
Practice Address - State:PA
Practice Address - Zip Code:16226-1268
Practice Address - Country:US
Practice Address - Phone:724-763-4080
Practice Address - Fax:724-763-4083
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty