Provider Demographics
NPI:1811924152
Name:JOEL R. KLEVEN, D.C., P.A.
Entity type:Organization
Organization Name:JOEL R. KLEVEN, D.C., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:KLEVEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:817-594-0281
Mailing Address - Street 1:113 E PARK AVE
Mailing Address - Street 2:SUITE # 101
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-5600
Mailing Address - Country:US
Mailing Address - Phone:817-594-0281
Mailing Address - Fax:817-598-1150
Practice Address - Street 1:113 E PARK AVE
Practice Address - Street 2:SUITE # 101
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-5600
Practice Address - Country:US
Practice Address - Phone:817-594-0281
Practice Address - Fax:817-598-1150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2933111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty