KK CHIROPRACTIC CARE PC NPI 1215238498

NPI Information

NPI: 1215238498
Provider Name: KK CHIROPRACTIC CARE PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
11880 BUSTLETON AVE STE 201
PHILADELPHIA, PA
ZIP 19116
Phone: (215) 207-1559
Get Directions

KK CHIROPRACTIC CARE PC is a chiropractor in Philadelphia, PA. The provider is 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. KK CHIROPRACTIC CARE PC NPI is 1215238498. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11880 BUSTLETON AVE STE 201
PHILADELPHIA, PA
ZIP 19116-538
Phone: (215) 207-1559

The provider's authorized official is Edward Eliezer Kantor .
The authorized official title is Managing Director and has the following contact phone number (215) 207-1559.

The enumeration date for this NPI number is 11/4/2010 and was last updated on 12/2/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		DC-005275-L	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9599644	OTHER	PENNSYLVANIA	AETNA
2	688402	OTHER	PENNSYLVANIA	HIGHMARK BLUE SHIELD
3	1131426	OTHER	PENNSYLVANIA	ASH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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