Individual provider · Type 1 NPI

Kevin A. Blau, DC

Chiropractor · Portage, WI

NPI number 1932194172 Active

Practice location

641 Latton Ln, Suite A
Portage, WI 53901-1078

Call (608) 742-1300 Map

Fax (608) 745-0147

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2990 (WI)

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 1932194172

Kevin A. Blau, DC's National Provider Identifier is 1932194172, issued on Sep 14, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Portage, WI. The record was last updated on Jul 9, 2007.