Provider Demographics
NPI:1063940773
Name:DEYARMIN, KEVIN CARTER (ND)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:CARTER
Last Name:DEYARMIN
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 JENNINGS RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH FORK
Mailing Address - State:PA
Mailing Address - Zip Code:15956-4123
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:117 JENNINGS RD
Practice Address - Street 2:
Practice Address - City:SOUTH FORK
Practice Address - State:PA
Practice Address - Zip Code:15956-4123
Practice Address - Country:US
Practice Address - Phone:844-945-3846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-24
Last Update Date:2017-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath