Provider Demographics
NPI:1891230819
Name:ROBERT TERRY KERBS, L.L.C.
Entity Type:Organization
Organization Name:ROBERT TERRY KERBS, L.L.C.
Other - Org Name:ARCHWAY CHIROPRACTIC CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:TERRY
Authorized Official - Last Name:KERBS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:479-754-2500
Mailing Address - Street 1:1130 S ROGERS ST
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72830-9157
Mailing Address - Country:US
Mailing Address - Phone:479-754-2500
Mailing Address - Fax:479-754-3187
Practice Address - Street 1:1130 S ROGERS ST
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:AR
Practice Address - Zip Code:72830-9157
Practice Address - Country:US
Practice Address - Phone:479-754-2500
Practice Address - Fax:479-754-3187
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-29
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1571111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty