# DR. MICHAEL KEVIN MONROE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1871595595
- **Gender:** Man
- **Credential:** DC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1750 | OH | Yes |

## Other

- **Enumeration date:** 08/12/2005
- **Last updated:** 09/18/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000119775 | ANTHEM BC/BS | — |
| 05 | — | 0855436 | — | OH |
| 01 | — | 1750 | STATE LICENSE \# | OH |
| 01 | — | 44-00105 | UNITED HEALTH CARE \# | — |