Healthcare Provider Details

I. General information

NPI: 1568979342
Provider Name (Legal Business Name): SAMANTHA JO STOKES DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2018
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 S JEFFERSON ST STE B6&7
KEARNEY MO
64060-8503
US

IV. Provider business mailing address

105 S JEFFERSON ST STE 6&7
KEARNEY MO
64060-8503
US

V. Phone/Fax

Practice location:
  • Phone: 816-281-8300
  • Fax:
Mailing address:
  • Phone: 816-281-8300
  • Fax: 816-343-9203

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2018000027
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: