| Kirby Whitten Chiropractic | |
|
3189 Kirby Whitten Rd Suite 104 Bartlett TN 38134-2854 | |
| (901) 922-5398 | |
| (901) 922-5538 |
| Full Name | Kirby Whitten Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 3189 Kirby Whitten Rd, Bartlett, Tennessee |
| Authorized Official Name and Position | Matthew Philip Cornies (CHIROPRACTOR) |
| Authorized Official Contact | 9019379397 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirby Whitten Chiropractic 8834 Eatonwick Dr Cordova TN 38016-4650 Ph: (901) 937-9397 | Kirby Whitten Chiropractic 3189 Kirby Whitten Rd Suite 104 Bartlett TN 38134-2854 Ph: (901) 922-5398 |
| NPI Number | 1558651273 |
|---|---|
| Provider Enumeration Date | 04/14/2011 |
| Last Update Date | 04/14/2011 |
| Medicare PECOS PAC ID | 8921282955 |
|---|---|
| Medicare Enrollment ID | O20110415000091 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558651273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | DC0000002061 (Tennessee) | Primary |
| Provider Name | Matthew Cornies |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1538287412 PECOS PAC ID: 1759473028 Enrollment ID: I20070816000820 |
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