Provider Demographics
NPI:1831248723
Name:KLUVER, BRAD ALLEN (DC)
Entity type:Individual
Prefix:DR
First Name:BRAD
Middle Name:ALLEN
Last Name:KLUVER
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 1:111 1ST STREET EAST
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:IA
Mailing Address - Zip Code:52314
Mailing Address - Country:US
Mailing Address - Phone:319-895-6789
Mailing Address - Fax:319-895-6789
Practice Address - Street 1:111 1ST STREET EAST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:IA
Practice Address - Zip Code:52314
Practice Address - Country:US
Practice Address - Phone:319-895-6789
Practice Address - Fax:319-895-6789
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06632111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0458620Medicaid
IA37907OtherBCBS
I14704Medicare ID - Type Unspecified