DR. KENDALL RAY PAULSON D.C. NPI 1174515639

NPI Information

  • NPI: 1174515639
  • Provider Name: DR. KENDALL RAY PAULSON, D.C.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 3292 N M 33
    ROSE CITY, MI
    ZIP 48654
  • Phone: (989) 685-2631

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NPI Details

DR. Kendall Ray Paulson, D.C. is a chiropractor in Rose City, MI with 39 years of experience. 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. DR. Kendall Ray Paulson, D.C. NPI is 1174515639. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LIFE CHIROPRACTIC COLLEGE - WEST
Graduation Year:1987

The provider's business location address is:

3292 N M 33
ROSE CITY, MI
ZIP 48654-416
Phone: (989) 685-2631
Fax: (989) 685-3839

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Chiropractic manipulative treatment, 3-4 spinal regions (HCPCS:98941)
  • Chiropractic manipulative treatment, 5 spinal regions (HCPCS:98942)
  • Chiropractic manipulative treatment, 1-2 spinal regions (HCPCS:98940)

The enumeration date for this NPI number is 8/19/2005 and was last updated on 3/25/2013.

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
1111N00000XChiropractor2301006841MICHIGANYes

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
1950F550270OTHERMICHIGANBLUE CROSS BLUE SHIELD OF MICHIGAN
20F55027MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

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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