Provider Demographics
NPI:1386671212
Name:MCKOWN, KATIE L (DC)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:L
Last Name:MCKOWN
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 1:309 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HILLSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24343-1434
Mailing Address - Country:US
Mailing Address - Phone:276-966-5010
Mailing Address - Fax:
Practice Address - Street 1:309 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HILLSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24343-1434
Practice Address - Country:US
Practice Address - Phone:276-966-5010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009212111N00000X
VA0104556583111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor