Provider Demographics
NPI:1740252824
Name:ADAIR, KAREN KIRBY (DC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:KIRBY
Last Name:ADAIR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 N ALLEN DR
Mailing Address - Street 2:SUITE 103
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-2555
Mailing Address - Country:US
Mailing Address - Phone:972-396-8866
Mailing Address - Fax:972-396-9090
Practice Address - Street 1:400 N ALLEN DR
Practice Address - Street 2:SUITE 103
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-2555
Practice Address - Country:US
Practice Address - Phone:972-396-8866
Practice Address - Fax:972-396-9090
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6512111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0018012-01Medicaid
TX75-2570550OtherTIN #
TX75-2570550OtherTIN #
TXU52759Medicare UPIN
TX605101Medicare ID - Type Unspecified