Individual
KIRT W REPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3033 HARTLEY RD STE 6, JACKSONVILLE, FL 32257-6280
(904) 481-1111
(832) 442-3800
Mailing address
PO BOX 9973, THE WOODLANDS, TX 77387-6973
(281) 831-6290
(832) 442-3800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
12872
FL
111N00000X
Chiropractor
1811
LA
111N00000X
Chiropractor
CH12872
FL
111N00000X
Chiropractor
TX8323
TX
111NN0400X
Neurology Chiropractor
Primary
8323
TX
111NR0200X
Radiology Chiropractor
8323
TX
111NX0100X
Occupational Health Chiropractor
8323
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8P5801
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/04/2005
Last updated
01/19/2023
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