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Individual

KEVIN L. MCNABB

Active
Sole proprietor

Provider details

NPI number
Gender
Man

Contact information

Practice address
2019B S HENDERSON BLVD, STE. 8, KILGORE, TX 75662-3546
(903) 984-5522
(903) 984-5547
Mailing address
2019B S HENDERSON BLVD, STE. 8, KILGORE, TX 75662-3546
(903) 984-5522
(903) 984-5547

Taxonomy

Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
6460
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
20687-001
TX
Enumeration date
05/08/2006
Last updated
07/08/2007
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