Provider Demographics
NPI:1568840783
Name:VO, KEVIN BIEN
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:BIEN
Last Name:VO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6412 N NAVARRO ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77904-1520
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6412 N NAVARRO ST
Practice Address - Street 2:SUITE E
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-1520
Practice Address - Country:US
Practice Address - Phone:361-579-0160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-07
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12896111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor