MEDICARE: DR. KEVIN CARSTEN SYKES 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	11678	TX

General Provider Information

NPI Number	:	1740587807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVIN CARSTEN SYKES D.C.

Provider Business Mailing Address
First Line	:	7633 BELLAIRE DR S STE 101
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-4311
Country	:	US
Telephone Number	:	817-349-7541
Fax Number	:	817-349-7549

Provider Business Practice Location Address
First Line	:	7633 BELLAIRE DR S STE 101
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-4311
Country	:	US
Telephone Number	:	817-349-7541
Fax Number	:	817-349-7549

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

Provider Enumeration Date	:	02/24/2011
Last Update Date	:	12/18/2015

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