Provider Demographics
NPI:1578798062
Name:RICHTER, KADEE DEANN (DC)
Entity Type:Individual
Prefix:DR
First Name:KADEE
Middle Name:DEANN
Last Name:RICHTER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:KADEE
Other - Middle Name:DEANN
Other - Last Name:RICHTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1022 SW MILITARY DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78221-1531
Mailing Address - Country:US
Mailing Address - Phone:210-922-9494
Mailing Address - Fax:210-922-9499
Practice Address - Street 1:1022 SW MILITARY DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78221-1531
Practice Address - Country:US
Practice Address - Phone:210-922-9494
Practice Address - Fax:210-922-9499
Is Sole Proprietor?:No
Enumeration Date:2009-05-27
Last Update Date:2020-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11156111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor