| Miss Kathryn Kay Brungard, DC | |
|
4432 N Miller Rd Ste 102, Scottsdale, AZ 85251-3697 | |
| (319) 981-1656 | |
| Not Available |
| Full Name | Miss Kathryn Kay Brungard |
|---|---|
| Gender | Female |
| Speciality | Chiropractic |
| Experience | 7 Years |
| Location | 4432 N Miller Rd Ste 102, Scottsdale, Arizona |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245718931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00751600 (New Jersey) | Secondary |
| 111N00000X | Chiropractor | 9266 (Arizona) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scottsdale Medical Group Llc | 4385988823 | 5 |
| Provider Name | Scottsdale Medical Group Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1659847036 PECOS PAC ID: 4385988823 Enrollment ID: O20181210002683 |
| Mailing Address | Practice Location Address |
|---|---|
| Miss Kathryn Kay Brungard, DC 445 E Germann Rd Apt 3011, Gilbert, AZ 85297-5800 Ph: (319) 981-1656 | Miss Kathryn Kay Brungard, DC 4432 N Miller Rd Ste 102, Scottsdale, AZ 85251-3697 Ph: (319) 981-1656 |
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