Provider Demographics
NPI:1700849841
Name:NEWTON, KENNETH CURTIS (DC)
Entity Type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:CURTIS
Last Name:NEWTON
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 1:414 W LOOP 281
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605-4454
Mailing Address - Country:US
Mailing Address - Phone:903-553-0955
Mailing Address - Fax:903-553-0957
Practice Address - Street 1:414 W LOOP 281
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-4454
Practice Address - Country:US
Practice Address - Phone:903-553-0955
Practice Address - Fax:903-553-0957
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4021111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T 15032Medicare UPIN
TX601404Medicare ID - Type Unspecified