KEWAUNEE CHIROPRACTIC WORKS LLC NPI 1063618502

NPI Information

  • NPI: 1063618502
  • Provider Name: KEWAUNEE CHIROPRACTIC WORKS LLC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • CLIA Number: 52D2163048
  • Address: 224 ELLIS ST
    KEWAUNEE, WI
    ZIP 54216
  • Phone: (920) 388-0285

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NPI Details

KEWAUNEE CHIROPRACTIC WORKS LLC is a chiropractor in Kewaunee, WI. 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. KEWAUNEE CHIROPRACTIC WORKS LLC NPI is 1063618502. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

224 ELLIS ST
KEWAUNEE, WI
ZIP 54216-006
Phone: (920) 388-0285
Fax: (920) 388-0291

The provider's authorized official is Reyne J Peters .
The authorized official title is Chiropractor and has the following contact phone number (920) 388-0285.

The CLIA number assigned to this NPI record is 52D2163048 - other - county jail with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2007 and was last updated on 8/1/2024.

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
1111N00000XChiropractor3480WISCONSINYes

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: 11/21/2025

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