Physician Compare National (NPI:1023087335)

HEALTHCARE PROVIDER: KEVIN J STAPLEFORD DC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1023087335
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5193763183
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050420000758
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	STAPLEFORD
	Individual professional last name
Provider First Name	KEVIN
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DC
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	PALMER COLLEGE CHIROPRACTIC - DAVENPORT
	Individual professional's medical school
Graduation Year	1998
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2201 W 1ST ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 3
	Group Practice or individual's line 2 address
City	ANKENY
	Group Practice or individual's city
State	IA
	Group Practice or individual's state
Zip Code	500232484
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5159648547
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y