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General NPI Number Information
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NPI Number | 1295175578
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Entity Type | Organization
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Legal Business Name | KAY FAMILY CHIROPRACTIC, PLLC
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Dates
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Enumeration Date | 07/01/2013
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Last Update Date | 11/18/2013
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Provider Practice Location Address
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Address Line | 710 PACHA PKWY SUITE 4
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City | NORTH LIBERTY
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State | IA
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Zip | 52317-4821
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Country | US
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Telephone | 319-626-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 710 PACHA PKWY SUITE 4
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City | NORTH LIBERTY
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State | IA
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Zip | 52317-4821
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Country | US
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Telephone | 319-626-3500
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. KAYLA DAVIS
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Credential | D.C.
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Telephone | 319-640-7948
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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 | 07655
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License Number State | IA
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