Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 4051 | KY |
N | 111NI0013X | Independent Medical Examiner | 4051 | KY |
NPI | 1588786743 |
---|---|
Provider Name | Kevin R Pillars |
First Address | Munfordville, KY 42765-0538 |
Second Address | Munfordville, KY 42765-0538 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2007 |
Last Update Date | 16/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
85040517 | (05) | KY |
K058620 | (02) | KY |