Provider Demographics
NPI:1205811213
Name:KHLEBOPROS, ALEC (DC)
Entity type:Individual
Prefix:DR
First Name:ALEC
Middle Name:
Last Name:KHLEBOPROS
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 1:11010 S TRYON ST
Mailing Address - Street 2:SUITE 112
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-0106
Mailing Address - Country:US
Mailing Address - Phone:704-504-1770
Mailing Address - Fax:704-707-4398
Practice Address - Street 1:11010 S TRYON ST
Practice Address - Street 2:SUITE 112
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-0106
Practice Address - Country:US
Practice Address - Phone:704-504-1770
Practice Address - Fax:704-707-4398
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3410111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic