| Kirkwood Spine And Rehab | |
|
140 W Adams Ave Kirkwood MO 63122-4023 | |
| (314) 965-8084 | |
| (314) 965-8612 |
| Full Name | Kirkwood Spine And Rehab |
|---|---|
| Speciality | Clinic/Center |
| Location | 140 W Adams Ave, Kirkwood, Missouri |
| Authorized Official Name and Position | Jacob Hedges Utterback (PRESIDENT/OWNER) |
| Authorized Official Contact | 3149658084 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kirkwood Spine And Rehab 140 W Adams Ave Kirkwood MO 63122-4023 Ph: (314) 965-8084 | Kirkwood Spine And Rehab 140 W Adams Ave Kirkwood MO 63122-4023 Ph: (314) 965-8084 |
| NPI Number | 1316174535 |
|---|---|
| Provider Enumeration Date | 06/15/2009 |
| Last Update Date | 06/15/2009 |
| Medicare PECOS PAC ID | 8729130075 |
|---|---|
| Medicare Enrollment ID | O20090716000504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316174535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 2007000279 (Missouri) | Primary |
| Provider Name | Jacob H Utterback |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1730228248 PECOS PAC ID: 5597856807 Enrollment ID: I20070801000043 |
Charles H Tadros, Md, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 461 S Kirkwood Rd, Kirkwood, MO 63122 Phone: 314-965-1513 Fax: 314-965-1063 | |
Chandra Shekar, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11040 Manchester Rd Ste 1, Kirkwood, MO 63122 Phone: 314-822-4002 Fax: 314-822-7009 | |
Cardio And Vascular Imaging Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1028 S Kirkwood Rd, Kirkwood, MO 63122 Phone: 314-398-3975 | |
Missouri Heart Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 Couch Ave, Suite 400, Kirkwood, MO 63122 Phone: 314-984-8860 | |
Mercy Clinic South Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10296 Big Bend Blvd, Suite 111, Kirkwood, MO 63122 Phone: 314-543-5943 Fax: 314-543-5953 | |
Williams Medical Group, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 N Taylor Ave, Suite A, Kirkwood, MO 63122 Phone: 314-822-9997 Fax: 314-822-9994 |