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KINGSWOOD PARKE FAMILY CHIROPRACTIC INC NPI 1336368158


NPI Information

NPI: 1336368158
Provider Name: KINGSWOOD PARKE FAMILY CHIROPRACTIC INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
15508 W BELL RD STE 105
SURPRISE, AZ
ZIP 85374
Phone: (623) 556-4772
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KINGSWOOD PARKE FAMILY CHIROPRACTIC INC is a chiropractor in Surprise, AZ. 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. KINGSWOOD PARKE FAMILY CHIROPRACTIC INC NPI is 1336368158. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15508 W BELL RD STE 105
SURPRISE, AZ
ZIP 85374-432
Phone: (623) 556-4772
Fax: (623) 556-2316

The provider's authorized official is Charles Wesley Enouen .
The authorized official title is Chiropractor and has the following contact phone number (623) 556-4772.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 8/30/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor5489ARIZONAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZDC5489MEDICARE ID-TYPE UNSPECIFIEDARIZONAMEDICARE NUMBER
2AZ0241860OTHERARIZONABLUE CROSS BLUE SHIELD
3U60552MEDICARE UPINARIZONA

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

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