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NPI Code Detail

MEDICARE: ROBERT SCOTT KILLINGBECK D.C.

MEDICARE:   ROBERT SCOTT KILLINGBECK  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
1111N00000XChiropractor08001284IN

General Provider Information

NPI Number : 1336287937
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT SCOTT KILLINGBECK D.C.
Provider Business Mailing Address
First Line : 4126 E 10TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46201-2613
Country : US
Telephone Number : 317-351-0345
Fax Number :
Provider Business Practice Location Address
First Line : 4126 E 10TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46201-2613
Country : US
Telephone Number : 317-351-0345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2007
Last Update Date : 07/08/2007

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Directions to “ ROBERT SCOTT KILLINGBECK D.C.” Practice Location

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