Individual provider · Type 1 NPI

Stacy Kenton Edwards, DC

Chiropractor · Berea, KY

NPI number 1780740423 Active

Practice location

130 N. Broadway, Suite #1
Berea, KY 40403

Fax (859) 985-7876

Mailing address

PO Box 957, 130 N. Broadway Suite #1
Berea, KY 40403

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 1780740423

Stacy Kenton Edwards, DC's National Provider Identifier is 1780740423, issued on Dec 28, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Berea, KY. The record was last updated on Mar 18, 2009.