Provider Demographics
NPI:1629634571
Name:LANGEL, KAYLEE RAE (DC)
Entity Type:Individual
Prefix:
First Name:KAYLEE
Middle Name:RAE
Last Name:LANGEL
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 1:19 LINCOLN ST SE
Mailing Address - Street 2:
Mailing Address - City:LE MARS
Mailing Address - State:IA
Mailing Address - Zip Code:51031-3645
Mailing Address - Country:US
Mailing Address - Phone:712-541-6663
Mailing Address - Fax:
Practice Address - Street 1:19 LINCOLN ST SE
Practice Address - Street 2:
Practice Address - City:LE MARS
Practice Address - State:IA
Practice Address - Zip Code:51031-3645
Practice Address - Country:US
Practice Address - Phone:712-541-6663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-16
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA095314111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor