Dr. Stacy Kenton Edwards is a Berea, Kentucky based male chiropractor who is specialized as General Chiropractor. Active license number of Dr. Stacy Kenton Edwards as General Chiropractor is 4066 in Kentucky. Dr. Stacy Kenton Edwards is qualified as 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.
Complete Profile:
Dr. Stacy Kenton Edwards speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Gender:
Male
Practice Address:
130 N. Broadway, Suite #1, Berea, Kentucky, 40403
Phone:
859-986-9477
Fax:
859-985-7876
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1780740423
NPI Enumeration Date:
28 Dec, 2006
NPI Last Update On:
18 Mar, 2009
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Stacy Kenton Edwards are as mentioned below.
License Number
Specialization
State
Status
4066
Chiropractor
Kentucky
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Stacy Kenton Edwards such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000000069105
Other
Kentucky
BCBS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 957, 130 N. Broadway Suite #1 Berea, Kentucky
Zip:
40403
Phone Number:
859-986-9477
Fax Number:
859-985-7876
Patients can reach Dr. Stacy Kenton Edwards at 130 N. Broadway, Suite #1, Berea, Kentucky or can call to book an appointment on 859-986-9477. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
Comments/ Reviews:
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