Dr Kenneth A Iles, DC | |
8129 Brewerton Rd, Cicero, NY 13039-9518 | |
(315) 699-9887 | |
Not Available |
Full Name | Dr Kenneth A Iles |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 28 Years |
Location | 8129 Brewerton Rd, Cicero, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821015470 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 009391 (New York) | Primary |
Provider Name | Back On Track Chiropractic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366612400 PECOS PAC ID: 2961661947 Enrollment ID: O20120312000086 |
Mailing Address | Practice Location Address |
---|---|
Dr Kenneth A Iles, DC 8129 Brewerton Rd, Cicero, NY 13039-9518 Ph: (315) 699-9887 | Dr Kenneth A Iles, DC 8129 Brewerton Rd, Cicero, NY 13039-9518 Ph: (315) 699-9887 |
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