Provider Demographics
NPI:1306359336
Name:CHARLEVOIX, KARI LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:KARI
Middle Name:LYNN
Last Name:CHARLEVOIX
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6028 W MEQUON RD # 200
Mailing Address - Street 2:
Mailing Address - City:MEQUON
Mailing Address - State:WI
Mailing Address - Zip Code:53092-1938
Mailing Address - Country:US
Mailing Address - Phone:262-240-9946
Mailing Address - Fax:
Practice Address - Street 1:6028 W MEQUON RD # 200
Practice Address - Street 2:
Practice Address - City:MEQUON
Practice Address - State:WI
Practice Address - Zip Code:53092-1938
Practice Address - Country:US
Practice Address - Phone:262-240-9946
Practice Address - Fax:262-240-9946
Is Sole Proprietor?:No
Enumeration Date:2017-11-13
Last Update Date:2017-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5316-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor