Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 7301 | AZ |
N | 111NS0005X | Chiropractic Sports Physician | DC28427 | CA |
NPI | 1043277106 |
---|---|
Provider Name | Dr. Kevin Daniel Sherman |
First Address | Scottsdale, AZ 85260-6228 |
Second Address | Scottsdale, AZ 85260-6228 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2006 |
Last Update Date | 29/10/2010 |