MEDICARE: DR. ELISABETH JANA KEHRLI 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	8419	AZ

General Provider Information

NPI Number	:	1326460833
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ELISABETH JANA KEHRLI D.C.

Provider Business Mailing Address
First Line	:	6015 E LARKSPUR DR
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-4444
Country	:	US
Telephone Number	:	818-481-6796
Fax Number	:

Provider Business Practice Location Address
First Line	:	6015 E LARKSPUR DR
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254-4444
Country	:	US
Telephone Number	:	818-481-6796
Fax Number	:

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

Provider Enumeration Date	:	01/17/2014
Last Update Date	:	09/15/2014

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