Kimbr Enterprises Inc
Organization Active NPI Chiropractor · Alva, OK
NPI 1083714950 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1083714950
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3505 (OK)
- Legal business name
- KIMBR ENTERPRISES INC
- Practice address
- 317 College Ave
Alva, OK 73717 - Phone
- (580) 327-0032
- Fax
- (580) 327-0330
- NPI assigned
- Sep 22, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Brent Michael Bogdanovecz, DC
- Title
- Chiropractor
- Phone
- (580) 327-0032
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 3505 | OK | Yes |
Addresses
Primary practice location
317 College Ave
Alva, OK 73717
Mailing address
317 College Ave
Alva, OK 73717
Phone (580) 327-0032
Other names
- Advanced Chiropractic Center
Other providers in Alva, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.