Provider Demographics
NPI:1831392539
Name:KIRK A. CARVER, DC PA
Entity type:Organization
Organization Name:KIRK A. CARVER, DC PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:BEHE
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:410-535-5559
Mailing Address - Street 1:2429 SOLOMONS ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20639-8732
Mailing Address - Country:US
Mailing Address - Phone:410-535-5559
Mailing Address - Fax:410-535-4919
Practice Address - Street 1:2429 SOLOMONS ISLAND RD
Practice Address - Street 2:
Practice Address - City:HUNTINGTOWN
Practice Address - State:MD
Practice Address - Zip Code:20639-8732
Practice Address - Country:US
Practice Address - Phone:410-535-5559
Practice Address - Fax:410-535-4919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02176111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDM133OtherCAREFIRST
MDT0610002OtherCAREFIRST
MDT0610002OtherCAREFIRST
MD122NMedicare PIN