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General NPI Number Information
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NPI Number | 1649636259
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Entity Type | Organization
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Legal Business Name | KYLE M MCKAMEY DC PLLC
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Dates
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Enumeration Date | 01/12/2016
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Last Update Date | 01/12/2016
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Provider Practice Location Address
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Address Line | 114 COMMERCIAL ST FLOOR 2
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City | DOWAGIAC
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State | MI
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Zip | 49047-1727
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Country | US
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Telephone | 269-462-9464
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Fax | 269-462-9692
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Provider Business Mailing Address
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Address Line | 75354 12TH AVE
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City | SOUTH HAVEN
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State | MI
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Zip | 49090-1677
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Country | US
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Telephone | 269-462-9464
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Fax | 269-462-9692
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Authorized Official
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Title or Position | PRESIDENT/CLINIC DIRECTOR
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Name | DR. KYLE MICHAEL MCKAMEY
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Credential | D.C.
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Telephone | 269-462-9464
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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 | 2301008816
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License Number State | MI
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