Provider Demographics
NPI:1326236225
Name:HEALTHZONE CHIROPRACTIC 3, PC
Entity Type:Organization
Organization Name:HEALTHZONE CHIROPRACTIC 3, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCKAMEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-639-2545
Mailing Address - Street 1:635 CONGER ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:49090-1476
Mailing Address - Country:US
Mailing Address - Phone:269-639-2545
Mailing Address - Fax:269-639-2137
Practice Address - Street 1:635 CONGER ST
Practice Address - Street 2:
Practice Address - City:SOUTH HAVEN
Practice Address - State:MI
Practice Address - Zip Code:49090-1476
Practice Address - Country:US
Practice Address - Phone:269-639-2545
Practice Address - Fax:269-639-2137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008816111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty