MEDICARE: SPINE RX MANAGEMENT CO

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	1851	OH

General Provider Information

NPI Number	:	1538111596
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPINE RX MANAGEMENT CO

Provider Business Mailing Address
First Line	:	4000 INDIANOLA AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-3158
Country	:	US
Telephone Number	:	614-573-7746
Fax Number	:	614-573-7750

Provider Business Practice Location Address
First Line	:	4000 INDIANOLA AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-3158
Country	:	US
Telephone Number	:	614-573-7746
Fax Number	:	614-573-7750

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KEVIN RICHARD KEMP
Credential	:	D.C.
Telephone Number	:	614-573-7746

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	08/22/2020

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Directions to “SPINE RX MANAGEMENT CO ” Practice Location

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