Organization · Type 2 NPI

Stacy K. Edwards, PSC

Chiropractor · Berea, KY

NPI number 1336381367 Active

Practice location

130 N Broadway St, Suite #1
Berea, KY 40403-2044

Fax (859) 985-7876

Mailing address

PO Box 957
Berea, KY 40403-0957

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X4066 (KY)

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 1336381367

Stacy K. Edwards, PSC's National Provider Identifier is 1336381367, issued on Apr 6, 2009. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Berea, KY. The record was last updated on Apr 23, 2009.