Provider Demographics
NPI:1447216007
Name:CARVER, DAVID L (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:L
Last Name:CARVER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:200 SOUTHWIND PL
Mailing Address - Street 2:STE.106
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66503-3186
Mailing Address - Country:US
Mailing Address - Phone:785-539-5622
Mailing Address - Fax:785-539-4474
Practice Address - Street 1:200 SOUTHWIND PL
Practice Address - Street 2:STE.106
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66503-3186
Practice Address - Country:US
Practice Address - Phone:785-539-5622
Practice Address - Fax:785-539-4474
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-24
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04164111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSU41671Medicare UPIN