Provider Demographics
NPI:1780800656
Name:MEALMAN, STEPHANIE LYNN (DC)
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:LYNN
Last Name:MEALMAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:890 S CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-4544
Mailing Address - Country:US
Mailing Address - Phone:913-764-2850
Mailing Address - Fax:
Practice Address - Street 1:890 S CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-4544
Practice Address - Country:US
Practice Address - Phone:913-764-2850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0103510111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS08305014OtherBCBS KANSAS CITY
KS706733OtherBCBSTOPEKA KANSAS
KS706733OtherBCBSTOPEKA KANSAS