Healthcare Provider Details

I. General information

NPI: 1871658146
Provider Name (Legal Business Name): KEVIN P MCNAMEE DC A PROFESSIONAL CHIROPRACTIC CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

166 N MOORPARK RD STE 206
THOUSAND OAKS CA
91360-4415
US

IV. Provider business mailing address

166 N MOORPARK RD STE 206
THOUSAND OAKS CA
91360-4415
US

V. Phone/Fax

Practice location:
  • Phone: 805-777-7474
  • Fax: 818-883-9133
Mailing address:
  • Phone: 818-434-7234
  • Fax: 818-883-9133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC19535
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC3890
License Number StateCA

VIII. Authorized Official

Name: KEVIN PAUL MCNAMEE
Title or Position: OWNER
Credential: DC, LAC
Phone: 818-434-7234