Kevin Mark Servi in Brookfield - Chiropractor
Kevin Mark Servi - NPI 1053537704
Kevin Mark Servi is a Chiropractor in Brookfield, Wisconsin. Kevin Mark Servi practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kevin Mark Servi is 1053537704. The last update date is 2007-07-08.
Kevin Mark Servi's current location address is 1425 Revere Dr, Brookfield, Wisconsin. You can contact this provider via phone number 4146169999 and fax number 4146167777. The mailing address for Kevin Mark Servi is 1425 Revere Dr, Brookfield, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Mark Servi |
|---|---|
| Address | 1425 Revere Dr, Brookfield, Wisconsin |
| Phone Number | 4146169999 |
| Fax Number | 4146167777 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1053537704 |
|---|---|
| Provider Enumeration Date | 2007-04-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1425 Revere Dr |
|---|---|
| City | Brookfield |
| State | Wisconsin (WI) |
| Post Code | 53045 |
| Phone Number | 4146169999 |
| Fax Number | 4146167777 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3902 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the unique provider identifier assigned to Kevin Mark Servi?
The Kevin Mark Servi has been issued the NPI (National Provider Identifier) 1053537704 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Kevin Mark Servi?
The Kevin Mark Servi is situated at 1425 Revere Dr, in the city of Brookfield, state of WI, with the zip code 53045.
What is the Kevin Mark Servi's specialty and taxonomy code?
The Kevin Mark Servi's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1053537704 to Kevin Mark Servi?
The Centers for Medicare & Medicaid Services originally issued the 1053537704 to Kevin Mark Servi on 2007-04-18.
When was the Kevin Mark Servi's information last updated?
The Kevin Mark Servi's information was last updated on 2007-07-08.
NPI Number: 1982607784
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