Kingen Chiropractic Wellness Center | |
2001 S Hanley Rd, Suite 220, Saint Louis, MO 63144-1518 | |
(314) 646-0013 | |
(314) 646-0014 |
Full Name | Kingen Chiropractic Wellness Center |
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Type | Facility |
Speciality | Chiropractor |
Location | 2001 S Hanley Rd, Saint Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164527016 | NPI | - | NPPES |
148025 | Other | MO | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | CE006146 (Missouri) | Primary |
Provider Name | Brenda Kingen |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1104097989 PECOS PAC ID: 4587741608 Enrollment ID: I20080414000241 |
Provider Name | Michael Bucher |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1699359349 PECOS PAC ID: 2567856966 Enrollment ID: I20220301001503 |
Mailing Address | Practice Location Address |
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Kingen Chiropractic Wellness Center 2001 S Hanley Rd, Suite 220, Saint Louis, MO 63144-1518 Ph: (314) 646-0013 | Kingen Chiropractic Wellness Center 2001 S Hanley Rd, Suite 220, Saint Louis, MO 63144-1518 Ph: (314) 646-0013 |
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Dr. Deborah Butler, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 11911 Westline Industrial Dr, Saint Louis, MO 63146 Phone: 636-394-1200 Fax: 314-569-1623 | |
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