Provider Demographics
NPI:1932174943
Name:SWAIN, KARI L (DC)
Entity Type:Individual
Prefix:DR
First Name:KARI
Middle Name:L
Last Name:SWAIN
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 1:410 CENTER PL SW
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:IA
Mailing Address - Zip Code:50009-2555
Mailing Address - Country:US
Mailing Address - Phone:515-967-9300
Mailing Address - Fax:515-967-9042
Practice Address - Street 1:410 CENTER PL SW
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:IA
Practice Address - Zip Code:50009-2555
Practice Address - Country:US
Practice Address - Phone:515-967-9300
Practice Address - Fax:515-967-9042
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA05913111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAU58119Medicare UPIN
IAI11550Medicare ID - Type UnspecifiedPROVIDER NUMBER