Individual
DR. KENNETH RANDALL MCEVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2941NW HWY 101, STE A, LINCOLN CITY, OR 97367
(541) 996-8745
(541) 996-8744
Mailing address
BOX 883, LINCOLN CITY, OR 97367
(541) 996-8745
(541) 996-8744
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2475
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132568
—
OR
Enumeration date
11/14/2006
Last updated
07/08/2007
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