Provider Demographics
NPI:1770694689
Name:BITHER-BARNES, KERI MICHELE (DC DACNB)
Entity type:Individual
Prefix:DR
First Name:KERI
Middle Name:MICHELE
Last Name:BITHER-BARNES
Suffix:
Gender:F
Credentials:DC DACNB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2976 W CENTER ST
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:CA
Mailing Address - Zip Code:96007-3367
Mailing Address - Country:US
Mailing Address - Phone:530-365-4595
Mailing Address - Fax:530-378-7642
Practice Address - Street 1:2976 W CENTER ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:CA
Practice Address - Zip Code:96007-3367
Practice Address - Country:US
Practice Address - Phone:530-365-4595
Practice Address - Fax:530-378-7642
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC28038111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAVO6464Medicare UPIN
CADC0280380Medicare ID - Type Unspecified