Provider Demographics
NPI:1861636102
Name:KESTNER, ADELE (DC)
Entity type:Individual
Prefix:DR
First Name:ADELE
Middle Name:
Last Name:KESTNER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3530 FOREST LN STE 45
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-7900
Mailing Address - Country:US
Mailing Address - Phone:214-358-3898
Mailing Address - Fax:214-358-3898
Practice Address - Street 1:3530 FOREST LN STE 45
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7900
Practice Address - Country:US
Practice Address - Phone:214-358-3898
Practice Address - Fax:214-358-3898
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-30
Last Update Date:2009-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6223111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition