Individual provider · Type 1 NPI
Kevin Lance Stalls, DC
Chiropractor · Atlanta, GA
NPI number
1154839769
Active
Practice location
1700 Northside Dr NW Ste A3
Atlanta, GA 30318-2695
Mailing address
1234 Defoor Village Ct NW Apt 307
Atlanta, GA 30318-2990
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIR009997 (GA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1154839769
Kevin Lance Stalls, DC's National Provider Identifier is 1154839769, issued on Jan 17, 2018. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Atlanta, GA. The record was last updated on Jan 17, 2018.