Provider Demographics
NPI:1104914134
Name:JAMES, KEVIN ALAN (DC)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:ALAN
Last Name:JAMES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 S CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:ALEXANDER CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35010-2536
Mailing Address - Country:US
Mailing Address - Phone:256-234-2233
Mailing Address - Fax:256-234-0847
Practice Address - Street 1:229 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ALEXANDER CITY
Practice Address - State:AL
Practice Address - Zip Code:35010-2536
Practice Address - Country:US
Practice Address - Phone:256-234-2233
Practice Address - Fax:256-234-0847
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1291111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51034718OtherBLUE CROSS BLUE SHIELD #