MEDICARE: DR. KIRK ANDREW JAMES DC

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	DC22722	CA

General Provider Information

NPI Number	:	1225037369
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIRK ANDREW JAMES DC

Provider Business Mailing Address
First Line	:	2062 TALBERT DR
Second Line	:	STE 500
City	:	CHICO
State	:	CA
Zip	:	95928-7707
Country	:	US
Telephone Number	:	530-566-1234
Fax Number	:	530-566-1124

Provider Business Practice Location Address
First Line	:	2062 TALBERT DR
Second Line	:	#500
City	:	CHICO
State	:	CA
Zip	:	95928-7679
Country	:	US
Telephone Number	:	530-566-1234
Fax Number	:	530-566-1124

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

Provider Enumeration Date	:	07/20/2005
Last Update Date	:	08/02/2017

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