Kevin M Statom, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5165 Issued in KY

Practice address

2210 Meadow Dr
Ste 5
Louisville, KY 40218-1374

Phone

(502) 822-1668

NPI assigned

Jan 29, 2007

Last updated

Apr 3, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Statom Chiropractic Inc

  • Chiropractor
  • Louisville, KY
  • NPI 1720479827
  Authorized official Same address or phone
• Dr. Nanci L. Allen, DC, PSC, Inc

  dba Better Health Chiropractic

  • Chiropractor
  • Crescent Springs, KY
  • NPI 1659519585
  NPD (past)
• Lifetime Family Chiropractic

  • Chiropractor
  • Medina, OH
  • NPI 1801075700
  NPD (past)
• Seaside Chiropractic, PA

  • Chiropractor
  • Corpus Christi, TX
  • NPI 1093287732
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428019200000",
    "number": "1033265269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 MEADOW DR",
            "address_2": "STE 5",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181374",
            "telephone_number": "502-822-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 MEADOW DR",
            "address_2": "STE 5",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402181374",
            "telephone_number": "502-822-1668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATOM",
        "first_name": "KEVIN",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2015-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melinda L Staten, APRN
• Ruth Robinson Staten, PHD, APRN-PMHNP-BC
• Vanessa States
• Victoria Anne Statler, M.D.
• Statom Chiropractic Inc
• Brandon Stauble
• Mary Elaine Stauble, M.D.
• Stephanie Fowler Stauble, LPCC
• Taylor Stauble, MS, RD, LD
• Joshua Stauffer

• Chiropractor in Louisville, KY
• Providers in Louisville, KY by specialty
• Chiropractor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.