Healthcare Provider Details

I. General information

NPI: 1811092042
Provider Name (Legal Business Name): ERIN PALMER NEWELL D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ERIN PALMER COMBS D.C.

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 03/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

723 S MAIN ST
KINGFISHER OK
73750-3622
US

IV. Provider business mailing address

723 S MAIN ST
KINGFISHER OK
73750-3622
US

V. Phone/Fax

Practice location:
  • Phone: 405-375-5497
  • Fax: 405-375-5485
Mailing address:
  • Phone: 405-375-5497
  • Fax: 405-375-5485

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3790
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: