Provider Demographics
NPI:1427110196
Name:STUART, RELAFORD WARREN (DC)
Entity type:Individual
Prefix:DR
First Name:RELAFORD
Middle Name:WARREN
Last Name:STUART
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 1:212 E 29TH ST
Mailing Address - Street 2:
Mailing Address - City:HAYS
Mailing Address - State:KS
Mailing Address - Zip Code:67601-1625
Mailing Address - Country:US
Mailing Address - Phone:785-259-0132
Mailing Address - Fax:
Practice Address - Street 1:2919 HALL ST
Practice Address - Street 2:
Practice Address - City:HAYS
Practice Address - State:KS
Practice Address - Zip Code:67601-1818
Practice Address - Country:US
Practice Address - Phone:785-621-4567
Practice Address - Fax:785-621-4567
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KST-01002111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor