| Fourth Ave Chiropractic Clinic | |
|
1625 W 4th Ave, Suite 200, Spokane, WA 99201-5620 | |
| (509) 624-5855 | |
| (509) 838-5779 |
| Full Name | Fourth Ave Chiropractic Clinic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1625 W 4th Ave, Spokane, Washington |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578774360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | L0705495 (Washington) | Primary |
| Provider Name | Darcy A Kelly |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1881744506 PECOS PAC ID: 5193883106 Enrollment ID: I20100927000917 |
| Provider Name | Kathleen D Lavis |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1518017235 PECOS PAC ID: 6002974011 Enrollment ID: I20101106000022 |
| Provider Name | Mark P Guthrie |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1407958259 PECOS PAC ID: 1153516828 Enrollment ID: I20101109000155 |
| Provider Name | Maxwell Hayes Kelly |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1053913855 PECOS PAC ID: 0244642494 Enrollment ID: I20201214000604 |
| Provider Name | Jason Josiah Kiu |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1740925585 PECOS PAC ID: 7618356205 Enrollment ID: I20220628002980 |
| Mailing Address | Practice Location Address |
|---|---|
| Fourth Ave Chiropractic Clinic 1625 W 4th Ave, Suite 200, Spokane, WA 99201-5620 Ph: (509) 624-5855 | Fourth Ave Chiropractic Clinic 1625 W 4th Ave, Suite 200, Spokane, WA 99201-5620 Ph: (509) 624-5855 |
Dr. David L Robinson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 10709 N Division St, Spokane, WA 99218 Phone: 509-466-9008 | |
Karla K Riollano, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 605 E Holland Ave, Suite 200, Spokane, WA 99218 Phone: 509-465-8400 Fax: 509-465-8500 | |
Desroches Chiropractic, Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 10709 N Division St, Spokane, WA 99218 Phone: 509-466-9008 | |
Dr. Amanda Randolph, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2320 N Atlantic St, Spokane, WA 99205 Phone: 601-526-1993 | |
Dr. Joshua Birr, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1203 W Francis Ave, Spokane, WA 99205 Phone: 509-328-7575 | |
Scott M Lindquist Dc Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1207 Nw Blvd, Spokane, WA 99205 Phone: 509-326-2570 Fax: 509-326-2571 | |
Clear Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2503 E 27th Ave, Spokane, WA 99223 Phone: 509-315-8166 |