NPI
Stacy Kenton Edwards
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- D.C.
- Type
- Individual
- Enumeration date
- 2006-12-28
- Last updated
- 2009-03-18
Specialties
Licenses
- License KY
- 4066
Location
- Practice location
- 130 N. Broadway, Suite #1
- City
- Berea KY
- Postal code
- 40403
- Phone
- (859) 986-9477
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Berea, KY. 426 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.