Provider Demographics
NPI:1669535324
Name:MEEKS, KEVIN D (DC)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:D
Last Name:MEEKS
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:PO BOX 791
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93232-0791
Mailing Address - Country:US
Mailing Address - Phone:559-583-1801
Mailing Address - Fax:559-583-1100
Practice Address - Street 1:425 N REDINGTON ST
Practice Address - Street 2:
Practice Address - City:HANFORD
Practice Address - State:CA
Practice Address - Zip Code:93230-4470
Practice Address - Country:US
Practice Address - Phone:559-583-1801
Practice Address - Fax:559-583-1100
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16628111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC16628Medicare ID - Type Unspecified