Kevin E Raef, DC, PA

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

DC3059 Issued in TX

Legal business name

KEVIN E RAEF, DC, PA

Practice address

402 15TH St
Canyon, TX 79015-3839

Phone

(806) 655-1108

Fax

(806) 655-1037

NPI assigned

Jun 26, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kevn E Raef, DC

Title

President

Phone

(806) 655-1108

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Raef Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin E. Raef, D.C.

  • Chiropractor
  • Canyon, TX
  • NPI 1083791602
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1043472475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 15TH ST",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790153839",
            "telephone_number": "806-655-1108",
            "fax_number": "806-655-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 15TH ST",
            "city": "CANYON",
            "state": "TX",
            "postal_code": "790153839",
            "telephone_number": "806-655-1108",
            "fax_number": "806-655-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN E RAEF, DC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "RAEF",
        "authorized_official_first_name": "KEVN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-655-1108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TX",
            "license": "DC3059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001206401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raef Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawn Rhea Kear, MS., CCC-SLP
• Melani Kelly, ATC, LAT
• Kershen Chiropractic PA
• Kershen Health Services
• Russell Ronald Kershen, D.C.
• Aubrey Beth Kinross, FNP-C
• Karen Elizabeth Knapp, RN, FNP
• Kaytlin Krutsch, PHARMD
• Jennifer Michelle Lale, RN
• Toni D Lambert, FNP

• Health Service Clinic/Center in Canyon, TX
• Providers in Canyon, TX by specialty
• Health Service Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.