Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 3410 | NC |
NPI | 1205811213 |
---|---|
Provider Name | Dr. Alec Khlebopros |
First Address | Charlotte, NC 28273-0106 |
Second Address | Charlotte, NC 28273-0106 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2005 |
Last Update Date | 18/02/2010 |