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General NPI Number Information
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NPI Number | 1760659924
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Entity Type | Organization
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Legal Business Name | KINNEY CHIROPRACTIC HEALTH CENTER, INC.
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Dates
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Enumeration Date | 05/15/2008
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Last Update Date | 05/15/2008
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Provider Practice Location Address
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Address Line | 3955 GOVERNMENT ST SUITE #8
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City | BATON ROUGE
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State | LA
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Zip | 70806-5755
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Country | US
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Telephone | 225-383-3763
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Fax | 225-383-3767
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Provider Business Mailing Address
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Address Line | 3955 GOVERNMENT ST SUITE #8
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City | BATON ROUGE
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State | LA
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Zip | 70806-5755
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Country | US
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Telephone | 225-383-3763
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Fax | 225-383-3767
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID ALLEN KINNEY
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Credential | D.C.
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Telephone | 225-383-3763
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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 | 310
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License Number State | LA
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