Provider Demographics
NPI:1235618448
Name:100 PERCENT CHIROPRACTIC MILES, PLLC
Entity Type:Organization
Organization Name:100 PERCENT CHIROPRACTIC MILES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KADEE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MILES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-986-7391
Mailing Address - Street 1:1335 E WHITESTONE BLVD BLDG O300
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-7883
Mailing Address - Country:US
Mailing Address - Phone:512-986-7391
Mailing Address - Fax:512-986-7430
Practice Address - Street 1:1335 E WHITESTONE BLVD BLDG O300
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-7883
Practice Address - Country:US
Practice Address - Phone:512-986-7391
Practice Address - Fax:512-986-7430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-08
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty