MEDICARE: DR. KEVIN DEWEY 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
1	111N00000X	Chiropractor	CH12751	FL

General Provider Information

NPI Number	:	1548727217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVIN DEWEY DC

Provider Business Mailing Address
First Line	:	3375 CAPITAL CIR NE BLDG C100
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-8700
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3375 CAPITAL CIR NE BLDG C100
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-8700
Country	:	US
Telephone Number	:	850-531-0111
Fax Number	:	850-888-3700

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

Provider Enumeration Date	:	02/28/2019
Last Update Date	:	02/28/2019

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