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NPI Code Detail

MEDICARE: KIESCHNICK CHIROPRACTIC PLLC

MEDICARE: KIESCHNICK CHIROPRACTIC 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
1111N00000XChiropractor

General Provider Information

NPI Number : 1942156849
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIESCHNICK CHIROPRACTIC PLLC
Provider Business Mailing Address
First Line : 1002 MAGNOLIA AVE STE B
Second Line :
City : PORT NECHES
State : TX
Zip : 77651-4135
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1002 MAGNOLIA AVE STE B
Second Line :
City : PORT NECHES
State : TX
Zip : 77651-4135
Country : US
Telephone Number : 409-282-0486
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TATUM KIESCHNICK
Credential : DC
Telephone Number : 409-282-0486
Provider Enumeration Date : 03/05/2026
Last Update Date : 03/05/2026

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