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NPI Code Detail

MEDICARE: DR. KEVIN BRYAN AMEN DC

MEDICARE:  DR. KEVIN BRYAN AMEN  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
1111NS0005XSports Physician Chiropractor4060TX
2111N00000XChiropractor4060TX

General Provider Information

NPI Number : 1447831276
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN BRYAN AMEN DC
Provider Business Mailing Address
First Line : 160 CREEKSIDE PARK RD.
Second Line : STE. 100
City : SPRING BRANCH
State : TX
Zip : 78070-6150
Country : US
Telephone Number : 830-980-8200
Fax Number : 830-438-8204
Provider Business Practice Location Address
First Line : 160 CREEKSIDE PARK RD.
Second Line : STE. 100
City : SPRING BRANCH
State : TX
Zip : 78070-6150
Country : US
Telephone Number : 830-980-8200
Fax Number : 830-438-8204
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2021
Last Update Date : 06/02/2021

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Directions to “ DR. KEVIN BRYAN AMEN DC” Practice Location

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