Rise Chiropractic Llc | |
136 W B Ave, Kingman, KS 67068-1309 | |
(316) 249-3174 | |
Not Available |
Full Name | Rise Chiropractic Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 136 W B Ave, Kingman, Kansas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841862752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Jessica Ann Marie Gault |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1316503691 PECOS PAC ID: 7416286885 Enrollment ID: I20190910002669 |
Mailing Address | Practice Location Address |
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Rise Chiropractic Llc 136 W B Ave, Kingman, KS 67068-1309 Ph: (620) 491-2418 | Rise Chiropractic Llc 136 W B Ave, Kingman, KS 67068-1309 Ph: (316) 249-3174 |
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