MEDICARE: CHIROWERX, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1083360457
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHIROWERX, PLLC

Provider Business Mailing Address
First Line	:	8307 UNIVERSITY EXEC PARK DR STE 251
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-1363
Country	:	US
Telephone Number	:	980-201-9484
Fax Number	:	980-201-9126

Provider Business Practice Location Address
First Line	:	8307 UNIVERSITY EXEC PARK DR STE 251
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-1363
Country	:	US
Telephone Number	:	980-201-9484
Fax Number	:	980-201-9126

Authorized Official
Title or Position	:	OWNER/SELF
Name	:	KYLE MATTHEW DUNNING
Credential	:	DC
Telephone Number	:	980-201-9484

Provider Enumeration Date	:	02/24/2022
Last Update Date	:	02/25/2022

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