MEDICARE: MRS. KARA JUNE HOLDEN 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
1	111N00000X	Chiropractor	7725	AZ

General Provider Information

NPI Number	:	1356567143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KARA JUNE HOLDEN D.C.

Provider Business Mailing Address
First Line	:	2537 COUNTRY CLUB PL
Second Line	:
City	:	BULLHEAD CITY
State	:	AZ
Zip	:	86442-7703
Country	:	US
Telephone Number	:	928-763-9131
Fax Number	:

Provider Business Practice Location Address
First Line	:	1868 HIGHWAY 95
Second Line	:
City	:	BULLHEAD CITY
State	:	AZ
Zip	:	86442-6804
Country	:	US
Telephone Number	:	928-763-8313
Fax Number	:	928-763-7995

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

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	07/08/2007

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