Provider Demographics
NPI:1427144948
Name:PROPER, DONALD KEVIN (DC)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:KEVIN
Last Name:PROPER
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 1:2147 HOEZLE ROAD
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-2160
Mailing Address - Country:US
Mailing Address - Phone:724-346-6722
Mailing Address - Fax:724-346-6722
Practice Address - Street 1:2147 HOEZLE ROAD
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148-2160
Practice Address - Country:US
Practice Address - Phone:724-346-6722
Practice Address - Fax:724-346-6722
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007012L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor