Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEVIN ELLIS VIESER, DC, ATC, CCSP
DeactivatedDR. KEVIN ELLIS VIESER, DC, ATC, CCSP is a Sports Physician (Chiropractor) healthcare provider located in GLEN BURNIE, Maryland. NPI 1649783994 is deactivated in the NPPES registry. Verify at CMS.
Sports Physician (Chiropractor) · GLEN BURNIE, MD
This NPI has been deactivated.
The record was deactivated on November 19, 2020.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1649783994
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 8, 2017 (3.0301369863014 yrs)
- Last Updated
- Nov 24, 2020
- Deactivated
- Nov 19, 2020
- License
-
C16755 (MD)
Practice Information
- Address
-
331 OAK MANOR DR STE 101GLEN BURNIE, MD, 210615553Browse MD providers · Browse ZIP 21061
- Phone
- 4107664878
- Primary Specialty
-
Sports Physician (Chiropractor)
111NS0005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.