Organization
SHELBY CHIROPRACTIC
Active
Other names
Shelby Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN DALE LEWIS D.C. (OWNER/CHIROPRACTOR)
(541) 330-7080
Entity
Organization
Contact information
Practice address
561 NE BELLEVUE DR STE 102, BEND, OR 97701
(541) 330-7080
(541) 330-7081
Mailing address
561 NE BELLEVUE DR STE 102, BEND, OR 97701-7696
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3952
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548593239
NPI
OR
Enumeration date
10/10/2016
Last updated
10/10/2016
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