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NPI Code Detail

MEDICARE: BRYAN KAPPE

MEDICARE:   BRYAN  KAPPE
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
1111N00000XChiropractor34977CA

General Provider Information

NPI Number : 1376147504
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRYAN KAPPE
Provider Business Mailing Address
First Line : 401 WASHINGTON ST
Second Line :
City : PETALUMA
State : CA
Zip : 94952-2998
Country : US
Telephone Number : 707-778-7010
Fax Number :
Provider Business Practice Location Address
First Line : 401 WASHINGTON ST
Second Line :
City : PETALUMA
State : CA
Zip : 94952-2998
Country : US
Telephone Number : 707-778-7010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2020
Last Update Date : 04/19/2024

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Directions to “ BRYAN KAPPE ” Practice Location

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