Individual
DR. EDWIN DEAN KIEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4665 SW FWY, #214, HOUSTON, TX 77027
(713) 652-9777
(713) 651-0584
Mailing address
4665 SW FWY, #214, HOUSTON, TX 77027
(713) 652-9777
(713) 651-0584
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4681
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4341235
AETNA ID
TX
01
—
5398448
CIGNA ID
TX
01
—
8214198
BLUELINK ID
TX
01
—
8A1790
BLUECROSS BLUESHIELD ID
TX
01
—
8G0773
BLUECROSS BLUESHIELD ID
TX
Enumeration date
02/22/2007
Last updated
10/15/2021
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