Provider Demographics
NPI:1902801640
Name:HUNETR, KEVIN MICHAEL (DC)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:MICHAEL
Last Name:HUNETR
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 1:9191 GARLAND RD
Mailing Address - Street 2:SUITE 1327
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-3991
Mailing Address - Country:US
Mailing Address - Phone:469-879-4785
Mailing Address - Fax:972-406-9356
Practice Address - Street 1:13260 JOSEY LN
Practice Address - Street 2:STE 102
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75234-4973
Practice Address - Country:US
Practice Address - Phone:972-406-9355
Practice Address - Fax:972-406-9356
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7300DC111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0100XChiropractic ProvidersChiropractorOccupational Health