Dr. Kevin Lance Stalls, DC
Chiropractor in Atlanta, GA. Individual provider (NPI-1).
NPI number1154839769
StatusActive
Last updated in NPPESJan 17, 2018
Details
- NPI
- 1154839769
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kevin Lance Stalls
- Credential
- DC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 17, 2018
- Last updated
- Jan 17, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | CHIR009997 | GA | Yes |
Practice location
1700 Northside Dr Nw Ste A3Atlanta, GA 30318-2695
Phone 404-351-1800
Mailing address
1234 Defoor Village Ct Nw Apt 307Atlanta, GA 30318-2990
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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