Healthcare Provider Details

I. General information

NPI: 1245108307
Provider Name (Legal Business Name): DR. KURT THOMAS KUCHENBROD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/29/2025
Last Update Date: 10/29/2025
Certification Date: 10/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 MYRTLE ST
CLAREMONT NH
03743-2760
US

IV. Provider business mailing address

39 MYRTLE ST
CLAREMONT NH
03743-2760
US

V. Phone/Fax

Practice location:
  • Phone: 603-542-7726
  • Fax:
Mailing address:
  • Phone: 704-361-3277
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1606
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: