Provider Demographics
NPI:1346211406
Name:VOLLERS, KURT D (DC)
Entity Type:Individual
Prefix:DR
First Name:KURT
Middle Name:D
Last Name:VOLLERS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 G ST
Mailing Address - Street 2:
Mailing Address - City:CENTRAL CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68826-1729
Mailing Address - Country:US
Mailing Address - Phone:308-946-2766
Mailing Address - Fax:
Practice Address - Street 1:215 G ST
Practice Address - Street 2:
Practice Address - City:CENTRAL CITY
Practice Address - State:NE
Practice Address - Zip Code:68826-1729
Practice Address - Country:US
Practice Address - Phone:308-946-2766
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-27
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE772111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47068836400Medicaid
NE09565OtherBLUE CROSS BLUE SHIELD
NET40194Medicare UPIN
NE09565OtherBLUE CROSS BLUE SHIELD