MEDICARE: MR. KEVIN L. HENNING D.C., D.A.C.N.B.

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	111NN0400X	Neurology Chiropractor	CH00002228	WA

General Provider Information

NPI Number	:	1982689287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KEVIN L. HENNING D.C., D.A.C.N.B.

Provider Business Mailing Address
First Line	:	1611 E WHISPERING SPRINGS LN
Second Line	:
City	:	COLBERT
State	:	WA
Zip	:	99005-9097
Country	:	US
Telephone Number	:	509-464-2273
Fax Number	:	509-242-1954

Provider Business Practice Location Address
First Line	:	9720 N NEVADA ST
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99218-3412
Country	:	US
Telephone Number	:	509-464-2273
Fax Number	:	509-242-1954

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

Provider Enumeration Date	:	12/08/2005
Last Update Date	:	11/26/2007

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Directions to “ MR. KEVIN L. HENNING D.C., D.A.C.N.B.” Practice Location

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