MEDICARE: DR. KEVIN RICHARD MYERS 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	DC005683L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	201944	OTHER	PA	UPMC
2	667067	OTHER	PA	UNITED HEALTHCARE
3	610238400	OTHER	PA	DEPT OF LABOR
4	757552	OTHER	PA	BC/BS
5	3522930	OTHER	PA	AETNA

General Provider Information

NPI Number	:	1699855379
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVIN RICHARD MYERS D.C.

Provider Business Mailing Address
First Line	:	3244 WASHINGTON RD STE 205
Second Line	:
City	:	MC MURRAY
State	:	PA
Zip	:	15317-3153
Country	:	US
Telephone Number	:	724-942-3505
Fax Number	:

Provider Business Practice Location Address
First Line	:	3244 WASHINGTON RD STE 205
Second Line	:
City	:	MC MURRAY
State	:	PA
Zip	:	15317-3153
Country	:	US
Telephone Number	:	724-344-6993
Fax Number	:

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

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	03/11/2019

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