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NPI Code Detail

MEDICARE: DR. STEPHEN L PRICE D.C.

MEDICARE: DR. STEPHEN L PRICE D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor01-05003KS

General Provider Information

NPI Number : 1821046590
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN L PRICE D.C.
Provider Business Mailing Address
First Line : 6126 N EVANS AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64151-2163
Country : US
Telephone Number : 816-419-1354
Fax Number :
Provider Business Practice Location Address
First Line : 4210 RAINBOW BLVD
Second Line :
City : KANSAS CITY
State : KS
Zip : 66103-3113
Country : US
Telephone Number : 913-789-9929
Fax Number : 913-789-8992
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 07/09/2007

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