Provider Demographics
NPI:1124253612
Name:ROEMER, KIRK (DC)
Entity type:Individual
Prefix:DR
First Name:KIRK
Middle Name:
Last Name:ROEMER
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 1:43403 10TH ST W STE C
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-6039
Mailing Address - Country:US
Mailing Address - Phone:661-723-6824
Mailing Address - Fax:661-723-5369
Practice Address - Street 1:43403 10TH ST W STE C
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-6039
Practice Address - Country:US
Practice Address - Phone:661-723-6824
Practice Address - Fax:661-723-5369
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA22141111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor