NPI 1366771677 · live from the CMS NPI Registry
Kenneth Casey Davis, D.C.
Chiropractor in Evanston, WY. National Provider Identifier 1366771677, active.
NPI record
| NPI | 1366771677 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 1101 Main Street, Suite 208, Evanston, WY 82930 |
| Practice phone | 307-444-7773 |
| Mailing address | P.O. Box 483, Mt. View, WY 82939 |
| Enumerated | December 15, 2009 |
| Last updated | September 28, 2010 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 698 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.