Provider Demographics
NPI:1730221334
Name:ENGLISH, KEVIN E (DC)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:E
Last Name:ENGLISH
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 1:5370 HOLLISTER AVE STE I
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-2396
Mailing Address - Country:US
Mailing Address - Phone:805-964-9839
Mailing Address - Fax:805-683-9589
Practice Address - Street 1:5370 HOLLISTER AVE
Practice Address - Street 2:STE I
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-2399
Practice Address - Country:US
Practice Address - Phone:805-964-9839
Practice Address - Fax:805-683-9589
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12398111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
0004382992OtherAETNA
CADC123980OtherBLUE SHIED
T17339Medicare UPIN
CADC123980OtherBLUE SHIED