NPI 1013050152

Kevin Michael Earle, DCCCEP

Practitioner Chiropractor Puyallup, WA

Practice location

Address: 10202 149th St E Suite 101b, Puyallup, WA 98374-3746
Phone: (253) 445-0440
Fax: (253) 445-0444
Mailing address: 13613 Meridian E STE 260, Puyallup, WA 98373-9800

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence CH00034075 (WA)

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Registry record

NPI: 1013050152
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Feb 2007
Record last updated: 20 Apr 2017

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.