Provider Demographics
NPI:1194104547
Name:HESTER CHIROPRACTIC & ACUPUNCTURE INC.
Entity type:Organization
Organization Name:HESTER CHIROPRACTIC & ACUPUNCTURE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KIM
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:HESTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:385-319-9621
Mailing Address - Street 1:9220 S PENNSYLVANIA AVE STE A
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73159-6909
Mailing Address - Country:US
Mailing Address - Phone:405-691-2838
Mailing Address - Fax:405-692-8807
Practice Address - Street 1:9220 S PENNSYLVANIA AVE STE A
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159-6909
Practice Address - Country:US
Practice Address - Phone:405-691-2838
Practice Address - Fax:405-692-8807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-19
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4186111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty