MEDICARE: DR. KAITLYN FLAMAND DC

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	6018-12	WI

General Provider Information

NPI Number	:	1902520315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAITLYN FLAMAND DC

Provider Business Mailing Address
First Line	:	4861 LARSON BEACH RD
Second Line	:
City	:	MCFARLAND
State	:	WI
Zip	:	53558-8735
Country	:	US
Telephone Number	:	262-951-6414
Fax Number	:

Provider Business Practice Location Address
First Line	:	4861 LARSON BEACH RD
Second Line	:
City	:	MCFARLAND
State	:	WI
Zip	:	53558-8735
Country	:	US
Telephone Number	:	262-951-6414
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/29/2022
Last Update Date	:	09/29/2022

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