Provider Demographics
NPI:1821046590
Name:PRICE, STEPHEN L (DC)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:L
Last Name:PRICE
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 1:6126 N EVANS AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64151-2163
Mailing Address - Country:US
Mailing Address - Phone:816-419-1354
Mailing Address - Fax:
Practice Address - Street 1:4210 RAINBOW BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66103-3113
Practice Address - Country:US
Practice Address - Phone:913-789-9929
Practice Address - Fax:913-789-8992
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05003111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSU96513Medicare UPIN