MEDICARE: NATURAL HEALTH 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
1	111N00000X	Chiropractor		NY

General Provider Information

NPI Number	:	1285626549
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATURAL HEALTH CHIROPRACTIC PLLC

Provider Business Mailing Address
First Line	:	2364 LYELL AVE
Second Line	:	LYELL HOWARD COMMONS
City	:	ROCHESTER
State	:	NY
Zip	:	14606-5738
Country	:	US
Telephone Number	:	585-429-5100
Fax Number	:	585-429-5101

Provider Business Practice Location Address
First Line	:	2364 LYELL AVE
Second Line	:	LYELL HOWARD COMMONS
City	:	ROCHESTER
State	:	NY
Zip	:	14606-5738
Country	:	US
Telephone Number	:	585-429-5100
Fax Number	:	585-429-5101

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BRETT L KINSLER
Credential	:	DC
Telephone Number	:	585-429-5100

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	07/21/2022

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