NPI 1023502168
Envive Brandon Prof LLC
Practice location
- Address
- 220 E Holly Blvd, Brandon, SD 57005-1171
- Phone
- (605) 582-3944
- Fax
- (605) 582-3698
Authorised official
- Name
- Lavonne McKee
- Title
- Credentialing Specialist
- Phone
- (605) 214-1401
Registered specialties
Chiropractor
Primary
Registry record
- NPI
- 1023502168
- Entity type
- Organization
- NPI issued
- 21 Jun 2018
- Record last updated
- 13 Sep 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.