Healthcare Provider Details

I. General information

NPI: 1578952420
Provider Name (Legal Business Name): PINNACLE CHIROPRACTIC & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2015
Last Update Date: 10/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4835 LEMAY FERRY RD STE A
SAINT LOUIS MO
63129-1588
US

IV. Provider business mailing address

4835 LEMAY FERRY RD STE A
SAINT LOUIS MO
63129-1588
US

V. Phone/Fax

Practice location:
  • Phone: 314-973-2834
  • Fax: 314-329-6680
Mailing address:
  • Phone: 314-973-2834
  • Fax: 314-329-6680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2014037142
License Number StateMO

VIII. Authorized Official

Name: DR. ROBYN C KUHN
Title or Position: OWNER/CHIROPRACTOR
Credential: D.C.
Phone: 314-973-2834