| Dr Kevin Patrick Lyons, DC | |
|
5035 W Wt Harris Blvd Ste A, Charlotte, NC 28269-1884 | |
| (704) 491-1836 | |
| (704) 248-0766 |
| Full Name | Dr Kevin Patrick Lyons |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 5035 W Wt Harris Blvd Ste A, Charlotte, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235338427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3689 (North Carolina) | Primary |
| Provider Name | Beyond Wellness Chiropractic Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164619920 PECOS PAC ID: 0446348023 Enrollment ID: O20071115000107 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Patrick Lyons, DC 5035 W Wt Harris Blvd Ste A, Charlotte, NC 28269-1884 Ph: (704) 461-1836 | Dr Kevin Patrick Lyons, DC 5035 W Wt Harris Blvd Ste A, Charlotte, NC 28269-1884 Ph: (704) 491-1836 |
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