Individual
DR. KERRY DEE TARVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3431 N MARKET ST, SHREVEPORT, LA 71107-3812
(318) 425-2225
(318) 425-2221
Mailing address
3431 N MARKET ST, SHREVEPORT, LA 71107-3812
(318) 425-2225
(318) 425-2221
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
1060LA
LA
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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