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NPI Code Detail

MEDICARE: KUKI CHIROPRACTIC LLC

MEDICARE: KUKI CHIROPRACTIC LLC
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
1111NN1001XNutrition Chiropractor12989TX
2111N00000XChiropractor12989TX

General Provider Information

NPI Number : 1104284017
Entity Type Code : Organization
Provider Name (Legal Business Name) : KUKI CHIROPRACTIC LLC
Provider Business Mailing Address
First Line : 2121 W SPRING CREEK PKWY STE 111
Second Line :
City : PLANO
State : TX
Zip : 75023-4527
Country : US
Telephone Number : 972-618-0729
Fax Number :
Provider Business Practice Location Address
First Line : 2121 W SPRING CREEK PKWY STE 111
Second Line :
City : PLANO
State : TX
Zip : 75023-4527
Country : US
Telephone Number : 972-618-0729
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : DR. MEHREEN NADEEM
Credential : D.C.
Telephone Number : 937-470-3983
Provider Enumeration Date : 02/05/2016
Last Update Date : 02/06/2016

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1598246712 — AMY J SCOTTINO LMT, MTI
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1194600502 — MRS. BRITTANY JANE BOND LPC-ASSOCIATE
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2121 W SPRING CREEK PKWY STE 111
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1952286593 — RAYCHEL LANE M.S., LPC-ASSOCIATE
Practice Location Address:
2121 W SPRING CREEK PKWY STE 111
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Practice Fax:

Directions to “KUKI CHIROPRACTIC LLC ” Practice Location

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