MEDICARE: DR. KAREN BRENNAN

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	0104001062	VA

General Provider Information

NPI Number	:	1356554901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN BRENNAN

Provider Business Mailing Address
First Line	:	2105 MCCOMAS WAY
Second Line	:	SUITE 200
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-3916
Country	:	US
Telephone Number	:	757-430-8000
Fax Number	:	757-427-2267

Provider Business Practice Location Address
First Line	:	2105 MCCOMAS WAY
Second Line	:	SUITE 200
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-3916
Country	:	US
Telephone Number	:	757-430-8000
Fax Number	:	757-427-2267

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

Provider Enumeration Date	:	05/08/2007
Last Update Date	:	10/13/2014

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