Active NPI
Kevin Douglas Estes, D.C.
- Chiropractor
- Paducah, KY
National Provider Identifier
1619938271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4236
- Practice address
- 3217 Central Ave
Paducah, KY 42001-4245 - Phone
- (270) 442-6352
- Fax
- (270) 443-3324
- NPI assigned
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4236 | KY | Primary |
Addresses
Primary practice location
3217 Central Ave
Paducah, KY 42001-4245
Mailing address
3217 Central Ave
Paducah, KY 42001-4245
Phone (270) 442-6352
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000051248 | Other | KY | ANTHEM BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4236 | KY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1619938271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3217 CENTRAL AVE",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420014245",
"telephone_number": "270-442-6352",
"fax_number": "270-443-3324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3217 CENTRAL AVE",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420014245",
"telephone_number": "270-442-6352",
"fax_number": "270-443-3324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESTES",
"first_name": "KEVIN",
"middle_name": "DOUGLAS",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "4236",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "000000051248",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.