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NPI Code Detail

MEDICARE: DR. KEVIN HORTON O'BRIANT D.C.

MEDICARE:  DR. KEVIN HORTON O'BRIANT  D.C.
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
1111N00000XChiropractor2736NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093883829
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN HORTON O'BRIANT D.C.
Provider Business Mailing Address
First Line : 1986 S MAIN ST
Second Line :
City : WAKE FOREST
State : NC
Zip : 27587-9336
Country : US
Telephone Number : 919-570-6511
Fax Number : 919-570-8299
Provider Business Practice Location Address
First Line : 1986 S MAIN ST
Second Line :
City : WAKE FOREST
State : NC
Zip : 27587-9336
Country : US
Telephone Number : 919-570-6511
Fax Number : 919-570-8299
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2006
Last Update Date : 07/08/2007

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Directions to “ DR. KEVIN HORTON O'BRIANT D.C.” Practice Location

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