Organization Name: | BLACKWELL FAMILY CHIROPRACTIC INC PC |
NPI Number: | 1881002087 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA ANN KAHLE (PRESIDENT, CHIROPRACTOR) |
Mailing Address: | 1312 W Doolin Ave Blackwell |
State: | OK US |
Postal Code: | 746311357 |
Phone Number: | 5803630084 |
Fax Number: | 5803630079 |
NPI Enumeration Date: | 07/31/2014 |
NPI Last Update Date: | 08/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 3716 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |