Provider Demographics
NPI:1669504569
Name:KEVIN MCALPIN, D.C.
Entity Type:Organization
Organization Name:KEVIN MCALPIN, D.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:SHANE
Authorized Official - Last Name:MCALPIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:806-722-4190
Mailing Address - Street 1:3802 21ST ST STE A
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1011
Mailing Address - Country:US
Mailing Address - Phone:806-722-4190
Mailing Address - Fax:806-722-4192
Practice Address - Street 1:3802 21ST ST STE A
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1011
Practice Address - Country:US
Practice Address - Phone:806-722-4190
Practice Address - Fax:806-722-4192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2007-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6311261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00542YMedicare PIN
TXU47632Medicare UPIN