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NPI Code Detail

MEDICARE: KEEP MOVING CHIROPRACTIC PLLC

MEDICARE: KEEP MOVING CHIROPRACTIC PLLC
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1255774840
Entity Type Code : Organization
Provider Name (Legal Business Name) : KEEP MOVING CHIROPRACTIC PLLC
Provider Business Mailing Address
First Line : 2521 N ELMS RD
Second Line :
City : FLUSHING
State : MI
Zip : 48433-9423
Country : US
Telephone Number : 810-487-5580
Fax Number :
Provider Business Practice Location Address
First Line : 2521 N ELMS RD
Second Line :
City : FLUSHING
State : MI
Zip : 48433-9423
Country : US
Telephone Number : 810-487-5580
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : DR. NANCY LYNNE EDINGTON
Credential : D.C.
Telephone Number : 810-487-5580
Provider Enumeration Date : 04/12/2013
Last Update Date : 04/12/2013

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Directions to “KEEP MOVING CHIROPRACTIC PLLC ” Practice Location

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