Healthcare Provider Details

I. General information

NPI: 1396676862
Provider Name (Legal Business Name): MERIC-DEAN CHARLES STINSON DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 3RD ST STE 110
HENDERSON KY
42420-5802
US

IV. Provider business mailing address

110 3RD ST STE 110
HENDERSON KY
42420-5802
US

V. Phone/Fax

Practice location:
  • Phone: 270-770-5520
  • Fax:
Mailing address:
  • Phone: 270-770-5520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number308781
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: