Cohoon Kinesiology Chiropractic And Rehab Llc | |
3007 Garden Grove Pkwy Hutchinson KS 67502-3907 | |
(620) 662-6160 | |
(620) 662-5223 |
Full Name | Cohoon Kinesiology Chiropractic And Rehab Llc |
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Speciality | Clinic/Center |
Location | 3007 Garden Grove Pkwy, Hutchinson, Kansas |
Authorized Official Name and Position | Ty Jacob Cohoon (CHIROPRACTOR) |
Authorized Official Contact | 6206626160 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cohoon Kinesiology Chiropractic And Rehab Llc 3007 Garden Grove Pkwy Hutchinson KS 67502-3907 Ph: (620) 662-6160 | Cohoon Kinesiology Chiropractic And Rehab Llc 3007 Garden Grove Pkwy Hutchinson KS 67502-3907 Ph: (620) 662-6160 |
NPI Number | 1275874885 |
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Provider Enumeration Date | 03/06/2013 |
Last Update Date | 03/06/2013 |
Medicare PECOS PAC ID | 1951541945 |
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Medicare Enrollment ID | O20130716000543 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275874885 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | 01-04842 (Kansas) | Primary |
Provider Name | Ty J Cohoon |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1609960673 PECOS PAC ID: 9032181102 Enrollment ID: I20040810000017 |
Provider Name | Jack D Stanfield |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1477852044 PECOS PAC ID: 1153509849 Enrollment ID: I20110628000736 |
Provider Name | Matthew A. Rich |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1225742992 PECOS PAC ID: 3476926759 Enrollment ID: I20230307002973 |
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