Provider Demographics
NPI:1982979795
Name:CULVER, KEVIN ROBERT (DC)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:ROBERT
Last Name:CULVER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:20410 TOWN CENTER LN
Mailing Address - Street 2:SUITE 150
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-3229
Mailing Address - Country:US
Mailing Address - Phone:408-446-2800
Mailing Address - Fax:408-446-2803
Practice Address - Street 1:20410 TOWN CENTER LN
Practice Address - Street 2:SUITE 150
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-3229
Practice Address - Country:US
Practice Address - Phone:408-446-2800
Practice Address - Fax:408-446-2803
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-12
Last Update Date:2012-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32076111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor