MEDICARE: DR. SHUFEI KIME 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	007371	IA

General Provider Information

NPI Number	:	1275835712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHUFEI KIME D.C.

Provider Business Mailing Address
First Line	:	124 E 18TH ST
Second Line	:	SUITE 5
City	:	CEDAR FALLS
State	:	IA
Zip	:	50613-4276
Country	:	US
Telephone Number	:	319-242-2189
Fax Number	:

Provider Business Practice Location Address
First Line	:	124 E 18TH ST
Second Line	:	SUITE 5
City	:	CEDAR FALLS
State	:	IA
Zip	:	50613-4276
Country	:	US
Telephone Number	:	319-242-2189
Fax Number	:

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

Provider Enumeration Date	:	12/02/2010
Last Update Date	:	12/02/2010

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