Provider Demographics
NPI:1598776775
Name:NEWLAND-KJAR, SHERRIE LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:SHERRIE
Middle Name:LYNN
Last Name:NEWLAND-KJAR
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 1:1106 CLAYTON LN STE 110W
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78723-2472
Mailing Address - Country:US
Mailing Address - Phone:512-371-7119
Mailing Address - Fax:512-371-1221
Practice Address - Street 1:1106 CLAYTON LN STE 110W
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78723-2472
Practice Address - Country:US
Practice Address - Phone:512-371-7119
Practice Address - Fax:512-371-1221
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6581111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU54810Medicare UPIN
TX00149VMedicare ID - Type Unspecified