MEDICARE: HESTER CHIROPRACTIC & ACUPUNCTURE INC.

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	4186	OK

General Provider Information

NPI Number	:	1194104547
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HESTER CHIROPRACTIC & ACUPUNCTURE INC.

Provider Business Mailing Address
First Line	:	9220 S PENNSYLVANIA AVE STE A
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73159-6909
Country	:	US
Telephone Number	:	405-691-2838
Fax Number	:	405-692-8807

Provider Business Practice Location Address
First Line	:	9220 S PENNSYLVANIA AVE STE A
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73159-6909
Country	:	US
Telephone Number	:	405-691-2838
Fax Number	:	405-692-8807

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KIM WILLIAM HESTER
Credential	:	D.C.
Telephone Number	:	385-319-9621

Provider Enumeration Date	:	05/19/2015
Last Update Date	:	05/19/2015

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