KEVIN E RAEF, DC, PA
Ambulatory Health at 15 St, Canyon, TX

License number
Texas DC3059
Category
Ambulatory Health
Type
Health Service
Owner
Name: DR. KEVN E RAEF DC
Title: PRESIDENT
Phone: (806) 655-1108
Address
Address
402 15Th St, Canyon, TX 79015
National Provider ID: 1043472475
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KEVIN E. RAEF, D.C., PA

402 15 St, Canyon, TX 79015

Registration:
Jan 1, 2002
State ID:
0800040620
Business type:
Professional Association
President , Treasurer , Director, Member , Secretary , Vice-Presidents:
Kevin E Raef D C (Secretary, Treasurer, Vice-President, Director, Member, President),Kevin E. Raef President , Treasurer , Director, Member , Secretary , Vice-President, inactive
Agent:
Kevin E. Raef, D.c,402 15 St, Canyon, TX 79015 (Physical)
TIN:
32035937740

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