MEDICARE: DR. KEVIN ALLEN NAPLES 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	DC010726	PA
2	111N00000X	Chiropractor	0104557356	VA
3	111N00000X	Chiropractor	DC-04985	OH

General Provider Information

NPI Number	:	1700138013
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVIN ALLEN NAPLES D.C.

Provider Business Mailing Address
First Line	:	4904 WUNNENBERG WAY
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-4985
Country	:	US
Telephone Number	:	513-671-6713
Fax Number	:	513-671-6718

Provider Business Practice Location Address
First Line	:	4904 WUNNENBERG WAY
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-4985
Country	:	US
Telephone Number	:	513-671-6713
Fax Number	:	513-671-6718

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

Provider Enumeration Date	:	10/10/2012
Last Update Date	:	06/01/2022

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