Provider Demographics
NPI:1366007262
Name:GILBERT, KERI (DC)
Entity Type:Individual
Prefix:
First Name:KERI
Middle Name:
Last Name:GILBERT
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 1:5656 BEE CAVES RD STE C102
Mailing Address - Street 2:
Mailing Address - City:WEST LAKE HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5281
Mailing Address - Country:US
Mailing Address - Phone:512-770-6068
Mailing Address - Fax:512-895-9896
Practice Address - Street 1:5656 BEE CAVES RD STE C102
Practice Address - Street 2:
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-5281
Practice Address - Country:US
Practice Address - Phone:512-770-6068
Practice Address - Fax:512-895-9896
Is Sole Proprietor?:No
Enumeration Date:2019-05-06
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13996111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor