Healthcare Provider Details

I. General information

NPI: 1427378850
Provider Name (Legal Business Name): KYLE RAYMOND KNAPP DOCTOR OF CHIROPRACTIC INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2010
Last Update Date: 12/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7522 CAMPBELL RD STE 104
DALLAS TX
75248-1726
US

IV. Provider business mailing address

7522 CAMPBELL RD STE 104
DALLAS TX
75248-1726
US

V. Phone/Fax

Practice location:
  • Phone: 214-733-1646
  • Fax: 972-735-9972
Mailing address:
  • Phone: 214-733-1646
  • Fax: 972-735-9972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number10897
License Number StateTX

VIII. Authorized Official

Name: DR. KYLE RAYMOND KNAPP
Title or Position: DOCTOR OF CHIROPRACTIC
Credential: D.C.
Phone: 214-733-1646