MEDICARE: KATRINA KAHOOK 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	CH10696	FL

General Provider Information

NPI Number	:	1235545245
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATRINA KAHOOK DC

Provider Business Mailing Address
First Line	:	409 S DIXIE HWY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-4442
Country	:	US
Telephone Number	:	561-582-5433
Fax Number	:

Provider Business Practice Location Address
First Line	:	409 S DIXIE HWY
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33460-4442
Country	:	US
Telephone Number	:	561-582-5433
Fax Number	:

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

Provider Enumeration Date	:	07/10/2014
Last Update Date	:	07/10/2014

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Directions to “ KATRINA KAHOOK DC” Practice Location

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