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General NPI Number Information
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NPI Number | 1225257462
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Entity Type | Organization
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Legal Business Name | BRENTWOOD FAMILY CHIROPRACTIC CENTER, LLC
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 9800 MANCHESTER RD
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City | SAINT LOUIS
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State | MO
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Zip | 63119-1236
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Country | US
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Telephone | 314-647-3847
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Fax | 314-644-0449
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Provider Business Mailing Address
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Address Line | 9800 MANCHESTER RD STE B
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City | SAINT LOUIS
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State | MO
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Zip | 63119-1253
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Country | US
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Telephone | 314-647-3847
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Fax | 314-644-0449
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. KYLE R KUHLMAN
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Credential | D.C.
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Telephone | 314-647-3847
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2003077601
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License Number State | MO
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