Individual provider · Type 1 NPI

Kevin Waxter, DC

Chiropractor · East Stroudsburg, PA

NPI number 1366631475 Active

Practice location

2 Analomink Rd
East Stroudsburg, PA 18301-9001

Fax (570) 424-9758

Mailing address

25 Whippoorwill Dr
Saylorsburg, PA 18353-9787

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000XDC 006735-L (PA)
Rehabilitation Chiropractor 111NR0400XAJ 006735-L (PA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1366631475

Kevin Waxter, DC's National Provider Identifier is 1366631475, issued on Oct 15, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in East Stroudsburg, PA. The record was last updated on Oct 15, 2007.