MEDICARE: DR. CURT MATTHEW KIPPENBERGER D.C.

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	2010017013	MO

General Provider Information

NPI Number	:	1932420981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CURT MATTHEW KIPPENBERGER D.C.

Provider Business Mailing Address
First Line	:	4200 MERCHANT ST
Second Line	:	STE 105
City	:	COLUMBIA
State	:	MO
Zip	:	65203-5816
Country	:	US
Telephone Number	:	573-777-5900
Fax Number	:

Provider Business Practice Location Address
First Line	:	4200 MERCHANT ST
Second Line	:	STE 105
City	:	COLUMBIA
State	:	MO
Zip	:	65203-5816
Country	:	US
Telephone Number	:	573-777-5900
Fax Number	:

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

Provider Enumeration Date	:	06/14/2010
Last Update Date	:	07/30/2019

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