Provider Demographics
NPI:1528396124
Name:EVERLY, KARI L (DC)
Entity Type:Individual
Prefix:DR
First Name:KARI
Middle Name:L
Last Name:EVERLY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:19 E WALNUT ST
Mailing Address - Street 2:STE F
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-4505
Mailing Address - Country:US
Mailing Address - Phone:573-256-6789
Mailing Address - Fax:573-443-4821
Practice Address - Street 1:19 E WALNUT ST
Practice Address - Street 2:STE F
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-4505
Practice Address - Country:US
Practice Address - Phone:573-256-6789
Practice Address - Fax:573-443-4821
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-20
Last Update Date:2015-06-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2008027069111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1497077101Medicare UPIN
MO1528396124Medicare PIN