Provider Demographics
NPI:1477527737
Name:BYERS, JAMES KEVIN (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:KEVIN
Last Name:BYERS
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 1:139 N STATE ROUTE 42
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45068
Mailing Address - Country:US
Mailing Address - Phone:513-897-0997
Mailing Address - Fax:513-897-1678
Practice Address - Street 1:139 N STATE ROUTE 42
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:OH
Practice Address - Zip Code:45068
Practice Address - Country:US
Practice Address - Phone:513-897-0997
Practice Address - Fax:513-897-1678
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2840111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2126603Medicaid
OH2126603Medicaid
OH0885011Medicare PIN