Provider Demographics
NPI:1982834511
Name:WHELCHEL, KEVIN PRICE (DC)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:PRICE
Last Name:WHELCHEL
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:PO BOX 883
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88311-0883
Mailing Address - Country:US
Mailing Address - Phone:575-682-1501
Mailing Address - Fax:575-682-1502
Practice Address - Street 1:1315 BURRO AVE
Practice Address - Street 2:
Practice Address - City:CLOUDCROFT
Practice Address - State:NM
Practice Address - Zip Code:88317-7719
Practice Address - Country:US
Practice Address - Phone:575-682-1501
Practice Address - Fax:575-682-1502
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-16
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMDC1866111N00000X
NM03614948009-GRT111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty