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Individual

DR. KEVIN GEORGE HOWARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
3103 W STOLLEY PARK RD, SUITE 102, GRAND ISLAND, NE 68801-7228
(308) 381-8171
(308) 381-2376
Mailing address
3103 W STOLLEY PARK RD, SUITE 102, GRAND ISLAND, NE 68801-7228
(308) 381-8171
(308) 381-2376

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
808
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09563
BCBS PROVIDER ID
NE
05
10025573700
NE
01
224561
MIDLAND'S CHOICE PROV ID
NE
01
41-2255613
FEDERAL TAX ID
NE
01
P00451120
RAILROAD MEDICARE
NE
Enumeration date
04/07/2006
Last updated
07/01/2011
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