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General NPI Number Information
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NPI Number | 1003735903
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Entity Type | Organization
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Legal Business Name | KINETIC CHIROPRACTIC & REHAB LLC
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Dates
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Enumeration Date | 07/14/2026
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 112 E WALNUT ST
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City | RIVER FALLS
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State | WI
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Zip | 54022-2439
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Country | US
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Telephone | 715-425-0333
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Fax |
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Provider Business Mailing Address
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Address Line | 2104 HUNTER HILL CT
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City | HUDSON
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State | WI
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Zip | 54016-5824
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Country | US
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Telephone | 262-875-0177
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | JACOB FLEGNER
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Credential | DC
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Telephone | 262-875-0177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC0050X
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Taxonomy Name | Critical Access Hospital Clinic/Center
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License Number |
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License Number State |
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