Healthcare Provider Details
I. General information
NPI: 1558675371
Provider Name (Legal Business Name): CRAIG JOSEPH KUHLMEIER D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/04/2010
Last Update Date: 07/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9720 W SAMPLE RD
CORAL SPRINGS FL
33065-4004
US
IV. Provider business mailing address
9720 W SAMPLE RD
CORAL SPRINGS FL
33065-4004
US
V. Phone/Fax
- Phone: 954-752-7373
- Fax: 954-752-7351
- Phone: 954-752-7373
- Fax: 954-752-7351
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | CH 10345 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | CHIR008697 |
| License Number State | GA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: