Individual
DR. KEVIN G HEARON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C., C.C.S.P
Contact information
Practice address
3314 N COLE RD, BOISE, ID 83704-4403
(208) 337-9930
Mailing address
3425 ARMOR ST, BOISE, ID 83704-4506
(208) 377-9930
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHI-491
ID
111NS0005X
Sports Physician Chiropractor
Primary
CHI-491
ID
Other
Enumeration date
06/04/2007
Last updated
09/11/2025
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