Provider Demographics
NPI:1639208101
Name:HOY, KEVIN (DC)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:
Last Name:HOY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10762 VALLEY VIEW RD
Mailing Address - Street 2:
Mailing Address - City:NORTHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44067-1435
Mailing Address - Country:US
Mailing Address - Phone:330-467-1707
Mailing Address - Fax:330-467-1782
Practice Address - Street 1:10762 VALLEY VIEW RD
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:OH
Practice Address - Zip Code:44067-1435
Practice Address - Country:US
Practice Address - Phone:330-467-1707
Practice Address - Fax:330-467-1782
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2022-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3129111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
U86967Medicare UPIN
OH9351531Medicare ID - Type Unspecified