MEDICARE: KEVIN MICHAEL HUNETR 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	111NX0100X	Occupational Health Chiropractor	7300DC	TX

General Provider Information

NPI Number	:	1902801640
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEVIN MICHAEL HUNETR D.C.

Provider Business Mailing Address
First Line	:	9191 GARLAND RD
Second Line	:	SUITE 1327
City	:	DALLAS
State	:	TX
Zip	:	75218-3991
Country	:	US
Telephone Number	:	469-879-4785
Fax Number	:	972-406-9356

Provider Business Practice Location Address
First Line	:	13260 JOSEY LN
Second Line	:	STE 102
City	:	FARMERS BRANCH
State	:	TX
Zip	:	75234-4973
Country	:	US
Telephone Number	:	972-406-9355
Fax Number	:	972-406-9356

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

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	07/08/2007

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