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NPI Code Detail

MEDICARE: DR. KIET A LE D.C

MEDICARE: DR. KIET A LE D.C
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
1111NI0013XIndependent Medical Examiner Chiropractor5836MO

General Provider Information

NPI Number : 1063654499
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIET A LE D.C
Provider Business Mailing Address
First Line : 2005 E KEARNEY ST STE F
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65803-4606
Country : US
Telephone Number : 417-863-1166
Fax Number :
Provider Business Practice Location Address
First Line : 2005 E KEARNEY ST STE F
Second Line :
City : SPRINGFIELD
State : MO
Zip : 65803-4606
Country : US
Telephone Number : 417-863-1166
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2009
Last Update Date : 03/31/2009

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Directions to “ DR. KIET A LE D.C” Practice Location

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