MEDICARE: DR. STEPHEN KARPENKO 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
1	111N00000X	Chiropractor	CT001489	CT

General Provider Information

NPI Number	:	1689973059
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHEN KARPENKO D.C.

Provider Business Mailing Address
First Line	:	166 ALBANY TPKE
Second Line	:	STE 6
City	:	CANTON
State	:	CT
Zip	:	06019-2546
Country	:	US
Telephone Number	:	860-693-0255
Fax Number	:	860-693-4250

Provider Business Practice Location Address
First Line	:	166 ALBANY TPKE
Second Line	:	STE 6
City	:	CANTON
State	:	CT
Zip	:	06019-2546
Country	:	US
Telephone Number	:	860-693-0255
Fax Number	:	860-693-4250

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2011
Last Update Date	:	03/24/2011

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Directions to “ DR. STEPHEN KARPENKO D.C.” Practice Location

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