Provider Demographics
NPI:1235473885
Name:THE APPLIED KINESIOLOGY CENTER,PLLC
Entity Type:Organization
Organization Name:THE APPLIED KINESIOLOGY CENTER,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIERAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:KUYKENDALL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-853-9013
Mailing Address - Street 1:5608 PARKCREST DR STE 175
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4980
Mailing Address - Country:US
Mailing Address - Phone:512-853-9013
Mailing Address - Fax:512-692-6234
Practice Address - Street 1:5608 PARKCREST DR STE 175
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4980
Practice Address - Country:US
Practice Address - Phone:512-853-9013
Practice Address - Fax:512-692-6234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-20
Last Update Date:2012-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10597111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty