Individual provider · NPI-1
Kale Lynn Lewis Ptacek, DC
Chiropractor · Stanford, CA
NPI number1508259698
StatusActive
Last updated in NPPESJul 21, 2025
Details
- NPI
- 1508259698
- Entity type
- Individual (NPI-1)
- Name
- Kale Lynn Lewis Ptacek
- Credential
- DC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 12, 2015
- Certification date
- Jul 8, 2025
- Last updated
- Jul 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 33184 | CA | Yes |
Practice location
300 Pasteur DriveStanford, CA 94305-2200
Phone 650-723-4000
Mailing address
300 Pasteur DriceStanford, CA 94305-2200
Phone 650-723-4000
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