MEDICARE: BALKMAN CHIROPRACTIC CLINIC

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	AR795	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11464121	OTHER	AR	CAQH

General Provider Information

NPI Number	:	1497763791
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BALKMAN CHIROPRACTIC CLINIC

Provider Business Mailing Address
First Line	:	3444 OLD GREENWOOD RD STE A
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-5462
Country	:	US
Telephone Number	:	479-646-3984
Fax Number	:	479-646-2129

Provider Business Practice Location Address
First Line	:	3444 OLD GREENWOOD RD STE A
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-5462
Country	:	US
Telephone Number	:	479-646-3984
Fax Number	:	479-646-2129

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. KYLE D JARNAGIN
Credential	:	D.C.
Telephone Number	:	479-646-3984

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	06/06/2008

Similar Medicare Providers

1487654901 — DR. KYLE D JARNAGIN D.C.
Practice Location Address:

3444 OLD GREENWOOD RD , SUITE A
FORT SMITH, AR
72903-5462

Practice Phone: 497-646-3984
Practice Fax: 479-646-2129

1205824539 — MRS. LANA ANN ELKINS M.ED.
Practice Location Address:

3444 OLD GREENWOOD RD , SUITE C
FORT SMITH, AR
72903-5462

Practice Phone: 479-452-6937
Practice Fax: 479-646-3828

1366464711 — DR. JAMES T HOWELL MD
Practice Location Address:

3416 OLD GREENWOOD RD
FORT SMITH, AR
72903-5462

Practice Phone: 479-452-2077
Practice Fax:

1235145111 — DR. ALAN KIETH ALEXANDER D.C.
Practice Location Address:

3444 OLD GREENWOOD RD , SUITE A
FORT SMITH, AR
72903-5462

Practice Phone: 479-646-3984
Practice Fax: 479-646-2021

1891865358 — DR. NESHAYDITH NAVOLA J'ANNE TOMPKINS D.C.
Practice Location Address:

3444 OLD GREENWOOD RD , SUITE A
FORT SMITH, AR
72903-5462

Practice Phone: 479-646-3984
Practice Fax: 479-646-2129

1104225317 — JOANN MAHAN APRN
Practice Location Address:

3416 OLD GREENWOOD RD
FORT SMITH, AR
72903-5462

Practice Phone: 479-242-2888
Practice Fax: 479-242-2889

Directions to “BALKMAN CHIROPRACTIC CLINIC ” Practice Location

Language	Start Address	Practice Location

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