MEDICARE: APEX INTEGRITY CHIROPRACTIC

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	261QH0100X	Health Service Clinic/Center	2509	AL

General Provider Information

NPI Number	:	1962914184
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	APEX INTEGRITY CHIROPRACTIC

Provider Business Mailing Address
First Line	:	3120 FREDERICK RD STE K
Second Line	:
City	:	OPELIKA
State	:	AL
Zip	:	36801-7135
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3120 FREDERICK RD STE K
Second Line	:
City	:	OPELIKA
State	:	AL
Zip	:	36801-7135
Country	:	US
Telephone Number	:	682-777-1687
Fax Number	:

Authorized Official
Title or Position	:	CHIRORACTOR
Name	:	DR. GRACE SUNYOUNG KANG
Credential	:	DC
Telephone Number	:	682-777-1687

Provider Enumeration Date	:	10/27/2017
Last Update Date	:	10/27/2017

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