Organization Active NPI

Kern Chiropractic Clinic

  • Chiropractor
  • Lakeland, FL
National Provider Identifier
1184933277
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KERN CHIROPRACTIC CLINIC
Practice address
4720 Cleveland Heights Blvd
Suite 105
Lakeland, FL 33813-2243
Phone
(863) 606-5914
Fax
(863) 606-5916
NPI assigned
Oct 7, 2010
Last updated
Jan 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Authorized official

Name
Laura B Burke
Title
MCC
Phone
(863) 606-5914

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4720 Cleveland Heights Blvd
Suite 105
Lakeland, FL 33813-2243

Mailing address

4720 Cleveland Heights Blvd
Suite 105
Lakeland, FL 33813-2243
Phone (863) 606-5914

National Provider Directory

National Provider Directory

Locations

4720 Cleveland Heights Blvd
Ste 105
Lakeland, FL 33813
Phone (863) 606-5914

4720 Cleveland Heights Blvd
Ste 303
Lakeland, FL 33813
Phone (863) 606-5914

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1184933277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 CLEVELAND HEIGHTS BLVD",
            "address_2": "SUITE 105",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132243",
            "telephone_number": "863-606-5914",
            "fax_number": "863-606-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 CLEVELAND HEIGHTS BLVD",
            "address_2": "SUITE 105",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132243",
            "telephone_number": "863-606-5914",
            "fax_number": "863-606-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERN CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MCC",
        "authorized_official_telephone_number": "863-606-5914"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.