Mariah Louise Kilps, DC | |
2909 S Quillan St Ste 158, Kennewick, WA 99337-2437 | |
(541) 604-2829 | |
Not Available |
Full Name | Mariah Louise Kilps |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 2909 S Quillan St Ste 158, Kennewick, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982107637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH60817975 (Washington) | Primary |
Provider Name | Designed Life Chiropractic Ps |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255834909 PECOS PAC ID: 8921356114 Enrollment ID: O20180803001594 |
Mailing Address | Practice Location Address |
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Mariah Louise Kilps, DC 2909 S Quillan St, Ste 158, Kennewick, WA 99337-2437 Ph: (509) 579-5992 | Mariah Louise Kilps, DC 2909 S Quillan St Ste 158, Kennewick, WA 99337-2437 Ph: (541) 604-2829 |
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