| Kenneth A. Nilsson, D.c. And Chiropractic Sports Therapy Inc. | |
|
2817 E Chapman Ave, Orange, CA 92869-3210 | |
| (714) 771-7171 | |
| Not Available |
| Full Name | Kenneth A. Nilsson, D.c. And Chiropractic Sports Therapy Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2817 E Chapman Ave, Orange, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114520087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Kenneth A Nilsson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1962628560 PECOS PAC ID: 6103087176 Enrollment ID: I20120418000625 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth A. Nilsson, D.c. And Chiropractic Sports Therapy Inc. 2817 E Chapman Ave, Orange, CA 92869-3210 Ph: (714) 771-7171 | Kenneth A. Nilsson, D.c. And Chiropractic Sports Therapy Inc. 2817 E Chapman Ave, Orange, CA 92869-3210 Ph: (714) 771-7171 |
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