1770845463 NPI number — KEVIN RAY PILLARS

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770845463 NPI number — KEVIN RAY PILLARS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KEVIN RAY PILLARS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PILLARS FAMILY CHIROPRACTIC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1770845463
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/21/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 538
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MUNFORDVILLE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
42765-0538
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
270-524-5240
Provider Business Mailing Address Fax Number:
270-524-5241

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MUNFORDVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
42765-0538
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
270-524-5240
Provider Business Practice Location Address Fax Number:
270-524-5241
Provider Enumeration Date:
06/09/2012

Additional Information

Authorized Official

Authorized Official Last Name:
PILLARS
Authorized Official First Name:
KEVIN
Authorized Official Middle Name:
RAY
Authorized Official Title or Position:
DR/OWNER
Authorized Official Telephone Number:
270-524-5240

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  4051 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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