Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 12877 | TX |
Y | 111NS0005X | Chiropractic Sports Physician | 12877 | TX |
NPI | 1114311016 |
---|---|
Provider Name | Dr. Jonathan Allen Kec |
First Address | Houston, TX 77027-5893 |
Second Address | Bellaire, TX 77401-2900 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2015 |
Last Update Date | 27/03/2015 |