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Dr. Stacy Kenton Edwards, DC
Chiropractor in Berea, Kentucky
NPI 1780740423

Stacy Kenton Edwards is a Chiropractor based in Berea, KY. Stacy Kenton Edwards practices in Berea, KY and has the professional credentials of DC. The NPI Number for Stacy Kenton Edwards is 1780740423 and holds a License No. 4066 (Kentucky).

The current practice location address for Stacy Kenton Edwards is 130 N. Broadway, Suite #1, Berea, KY and can be reached out via phone at 859-986-9477 and via fax at 859-985-7876.

Location: 130 N. Broadway, Suite #1, Berea, KY, 40403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780740423
Provider Name
Stacy Kenton Edwards
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
130 N. Broadway, Suite #1, Berea, KY, 40403
Phone Number
859-986-9477
Fax Number
859-985-7876
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000069105 01 KY BCBS
institution
Provider Business Practice Location Address Details
Address
130 N. Broadway, Suite #1
City
Berea
State
Kentucky
Zip
40403
Phone Number
859-986-9477
Fax Number
859-985-7876
person
Provider Business Mailing Address Details
Address
130 N. Broadway, Suite #1
City
Berea
State
Kentucky
Zip
40403
Phone Number
859-986-9477
Fax Number
859-985-7876
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
4066 (Kentucky)
Definition
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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