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General NPI Number Information
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NPI Number | 1295957090
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Entity Type | Organization
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Legal Business Name | DAVID W. KINNISON, DC, PC
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 08/11/2010
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Provider Practice Location Address
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Address Line | 2122 RUFE SNOW DR SUITE 112
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City | KELLER
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State | TX
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Zip | 76248-5691
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Country | US
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Telephone | 817-485-8500
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Fax | 817-485-8507
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Provider Business Mailing Address
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Address Line | 2122 RUFE SNOW DR SUITE 112
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City | KELLER
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State | TX
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Zip | 76248-5691
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Country | US
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Telephone | 817-485-8500
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Fax | 817-485-8507
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Authorized Official
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Title or Position | OWNER-PRESIDENT
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Name | DR. DAVID W KINNISON
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Credential |
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Telephone | 817-485-8500
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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 | 9020
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License Number State | TX
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