Provider Demographics
NPI:1740587807
Name:SYKES, KEVIN CARSTEN (DC)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:CARSTEN
Last Name:SYKES
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 1:7633 BELLAIRE DR S STE 101
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76132-4311
Mailing Address - Country:US
Mailing Address - Phone:817-349-7541
Mailing Address - Fax:817-349-7549
Practice Address - Street 1:7633 BELLAIRE DR S STE 101
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76132-4311
Practice Address - Country:US
Practice Address - Phone:817-349-7541
Practice Address - Fax:817-349-7549
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-24
Last Update Date:2015-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11678111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor