DR. Stacy Kenton Edwards, D.C.

NPI #1780740423 in Berea, Kentucky

Provider Information

NPI Number: 1780740423
Entity Type: Individual
Name: DR. Stacy Kenton Edwards, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Dec 28, 2006
Last Updated: Mar 18, 2009

Practice Location

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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