Stacy K. Edwards, Psc

NPI #1336381367 in Berea, Kentucky

Provider Information

NPI Number: 1336381367
Entity Type: Organization
Organization Name: Stacy K. Edwards, Psc
Primary Specialty: Chiropractor
Enumeration Date: Apr 6, 2009
Last Updated: Apr 23, 2009

Practice Location

Address: 130 N BROADWAY ST
Address 2: SUITE #1
City: Berea
State: Kentucky
ZIP Code: 40403-2044
Phone: (859) 986-9477

Authorized Official

Name: DR. STACY KENTON EDWARDS, D.C.
Title: DOCTOR/OWNER
Phone: (859) 986-9477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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