MEDICARE: DR. ELLICIA CLAIRE KAISER 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	4191	OK
2	111N00000X	Chiropractor	2774	AL

General Provider Information

NPI Number	:	1538506340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELLICIA CLAIRE KAISER D.C

Provider Business Mailing Address
First Line	:	3153 CAHABA HEIGHTS RD
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35243-5246
Country	:	US
Telephone Number	:	205-967-0280
Fax Number	:	205-967-0408

Provider Business Practice Location Address
First Line	:	3153 CAHABA HEIGHTS RD
Second Line	:
City	:	VESTAVIA
State	:	AL
Zip	:	35243-5246
Country	:	US
Telephone Number	:	205-967-0280
Fax Number	:	205-967-0408

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

Provider Enumeration Date	:	06/03/2013
Last Update Date	:	10/26/2022

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Directions to “ DR. ELLICIA CLAIRE KAISER D.C” Practice Location

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