MEDICARE: KURT A KANGAS JR.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	16232	TX

General Provider Information

NPI Number	:	1023954849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KURT A KANGAS JR.

Provider Business Mailing Address
First Line	:	1234 KINGS HWY APT H102
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208-3633
Country	:	US
Telephone Number	:	469-929-0140
Fax Number	:

Provider Business Practice Location Address
First Line	:	1234 KINGS HWY APT H102
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75208-3633
Country	:	US
Telephone Number	:	469-929-0140
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2026
Last Update Date	:	04/24/2026

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Directions to “ KURT A KANGAS JR. ” Practice Location

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