Provider Demographics
NPI:1477943264
Name:BEA, HOLLEE MAE KIRCHNER (DC)
Entity Type:Individual
Prefix:DR
First Name:HOLLEE
Middle Name:MAE KIRCHNER
Last Name:BEA
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 1:910 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:KS
Mailing Address - Zip Code:66839-2603
Mailing Address - Country:US
Mailing Address - Phone:620-364-5524
Mailing Address - Fax:
Practice Address - Street 1:910 N 4TH ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:KS
Practice Address - Zip Code:66839-2603
Practice Address - Country:US
Practice Address - Phone:620-364-5524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-31
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-05682111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor