Provider Demographics
NPI:1215053384
Name:HOVEST, KASEY LANE (DC)
Entity type:Individual
Prefix:
First Name:KASEY
Middle Name:LANE
Last Name:HOVEST
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:GILBOA
Mailing Address - State:OH
Mailing Address - Zip Code:45875-1545
Mailing Address - Country:US
Mailing Address - Phone:419-615-4100
Mailing Address - Fax:
Practice Address - Street 1:213 MAIN STREET
Practice Address - Street 2:
Practice Address - City:GILBOA
Practice Address - State:OH
Practice Address - Zip Code:45875-1545
Practice Address - Country:US
Practice Address - Phone:419-615-4100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3791111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor