Healthcare Provider Details

I. General information

NPI: 1659555787
Provider Name (Legal Business Name): SAXON FAMILY CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/26/2007
Last Update Date: 12/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 MAGNOLIA AVE
FAIRHOPE AL
36532-2413
US

IV. Provider business mailing address

315 MAGNOLIA AVE
FAIRHOPE AL
36532-2413
US

V. Phone/Fax

Practice location:
  • Phone: 251-990-8188
  • Fax: 251-990-8159
Mailing address:
  • Phone: 251-990-8188
  • Fax: 251-990-8159

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2185
License Number StateAL

VIII. Authorized Official

Name: KIMBERLY LYNNE SAXON
Title or Position: DOCTOR OF CHIROPRACTIC
Credential: D.C.
Phone: 251-625-1034