MEDICARE: KEVIN MARK SERVI DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	3902	WI

General Provider Information

NPI Number	:	1053537704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN MARK SERVI DC

Provider Business Mailing Address
First Line	:	1425 REVERE DR
Second Line	:
City	:	BROOKFIELD
State	:	WI
Zip	:	53045
Country	:	US
Telephone Number	:	414-616-9999
Fax Number	:	414-616-7777

Provider Business Practice Location Address
First Line	:	3975 N 68TH ST
Second Line	:	#204
City	:	MILWAUKEE
State	:	WI
Zip	:	53216
Country	:	US
Telephone Number	:	414-616-9999
Fax Number	:	414-616-7777

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	03/15/2026

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Directions to “ KEVIN MARK SERVI DC” Practice Location

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