Wyoming Family Chirorpactic & Massage | |
1429 Springfield Pike Ste C, Cincinnati, OH 45215-2193 | |
(513) 445-4808 | |
(513) 434-3627 |
Full Name | Wyoming Family Chirorpactic & Massage |
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Type | Facility |
Speciality | Chiropractor |
Location | 1429 Springfield Pike Ste C, Cincinnati, Ohio |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699250175 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Kelly Samuel Duffner |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1235499401 PECOS PAC ID: 9032373121 Enrollment ID: I20210303002742 |
Mailing Address | Practice Location Address |
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Wyoming Family Chirorpactic & Massage 1429 Springfield Pike Ste C, Cincinnati, OH 45215-2193 Ph: (513) 445-4808 | Wyoming Family Chirorpactic & Massage 1429 Springfield Pike Ste C, Cincinnati, OH 45215-2193 Ph: (513) 445-4808 |
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