Healthcare Provider Details

I. General information

NPI: 1477900025
Provider Name (Legal Business Name): KAMMER CHIROPRACTIC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2016
Last Update Date: 05/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12232 COUNTY RD. 99 S.
LILLIAN AL
36549
US

IV. Provider business mailing address

PO BOX 6
LILLIAN AL
36549-0006
US

V. Phone/Fax

Practice location:
  • Phone: 251-962-4610
  • Fax:
Mailing address:
  • Phone: 251-962-4610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number2482
License Number StateAL

VIII. Authorized Official

Name: DR. DANIEL PATRICK KAMMER
Title or Position: PRESIDENT
Credential: D.C.
Phone: 901-335-2225