Provider Demographics
NPI:1689973059
Name:KARPENKO, STEPHEN (DC)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:
Last Name:KARPENKO
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 1:166 ALBANY TPKE
Mailing Address - Street 2:STE 6
Mailing Address - City:CANTON
Mailing Address - State:CT
Mailing Address - Zip Code:06019-2546
Mailing Address - Country:US
Mailing Address - Phone:860-693-0255
Mailing Address - Fax:860-693-4250
Practice Address - Street 1:166 ALBANY TPKE
Practice Address - Street 2:STE 6
Practice Address - City:CANTON
Practice Address - State:CT
Practice Address - Zip Code:06019-2546
Practice Address - Country:US
Practice Address - Phone:860-693-0255
Practice Address - Fax:860-693-4250
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCT001489111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor