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General NPI Number Information
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NPI Number | 1386388775
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Entity Type | Organization
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Legal Business Name | KINACH CHIROPRACTIC LLC
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Dates
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Enumeration Date | 04/22/2022
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 23505 SMITHTOWN RD STE 100
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City | EXCELSIOR
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State | MN
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Zip | 55331-4542
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Country | US
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Telephone | 612-217-1159
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Fax | 952-295-0591
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Provider Business Mailing Address
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Address Line | 261 SCHOOL AVE STE 310
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City | EXCELSIOR
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State | MN
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Zip | 55331-1979
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. ANDREW MARK KINACH
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Credential | DC
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Telephone | 705-257-6968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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