MEDICARE: DR. JOSEPH MICHAEL KNUDSON 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
1	111N00000X	Chiropractor	2007001842	MO

General Provider Information

NPI Number	:	1194847210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH MICHAEL KNUDSON D.C.

Provider Business Mailing Address
First Line	:	8335 N CONGRESS AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64152-2041
Country	:	US
Telephone Number	:	816-741-4711
Fax Number	:	816-741-0119

Provider Business Practice Location Address
First Line	:	8335 N CONGRESS AVE
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64152-2041
Country	:	US
Telephone Number	:	816-741-4711
Fax Number	:	816-741-0119

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

Provider Enumeration Date	:	04/06/2007
Last Update Date	:	04/02/2012

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