Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kiley Stone, PA-C

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811883903

Kiley Stone, PA-C is a Physician Assistant in Goshen, Indiana. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Indiana.

Years since qualifying
1
Licensed in
IN
In the registry since
2025
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

200 High Park Ave
Goshen, IN 46526-4810
Phone: (574) 364-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 10004880A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1811883903
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 16, 2025
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025
Mailing address28 Highland Dr, Wabash, IN 46992-2124

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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