Individual
KEVIN W KAURICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
21421 CLEVELAND RD, SOUTH BEND, IN 46628-3507
(574) 282-2828
(574) 282-1802
Mailing address
21421 CLEVELAND RD, SOUTH BEND, IN 46628-3507
(574) 282-2828
(574) 282-1802
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001607
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000093017
ANTHEM
IN
05
—
200032070A
—
IN
Enumeration date
07/09/2006
Last updated
07/15/2024
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