Organization
ENVIVE BRANDON PROF LLC
Active
Parent organization
ENVIVE, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ENVIVE, P.C.
Authorized official
LAVONNE MCKEE (CREDENTIALING SPECIALIST)
(605) 214-1401
Entity
Organization
Contact information
Practice address
220 E HOLLY BLVD, BRANDON, SD 57005-1171
(605) 582-3944
(605) 582-3698
Mailing address
220 E HOLLY BLVD, BRANDON, SD 57005-1171
(605) 582-3944
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
06/21/2018
Last updated
09/13/2018
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