Provider Demographics
NPI:1477991099
Name:WAPLES, KURT (DC)
Entity Type:Individual
Prefix:
First Name:KURT
Middle Name:
Last Name:WAPLES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2179 BOSTON POST RD
Mailing Address - Street 2:
Mailing Address - City:LARCHMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10538-3612
Mailing Address - Country:US
Mailing Address - Phone:914-630-7777
Mailing Address - Fax:
Practice Address - Street 1:47 OAK ST STE 250
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-5320
Practice Address - Country:US
Practice Address - Phone:032-206-4882
Practice Address - Fax:203-433-0523
Is Sole Proprietor?:No
Enumeration Date:2013-06-05
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012340111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor