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NPI Code Detail

MEDICARE: KITSAP CHIROPRACTIC CLINIC

MEDICARE: KITSAP CHIROPRACTIC CLINIC
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1417897513
Entity Type Code : Organization
Provider Name (Legal Business Name) : KITSAP CHIROPRACTIC CLINIC
Provider Business Mailing Address
First Line : 200 BETHEL AVE
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-5216
Country : US
Telephone Number : 360-876-4171
Fax Number : 360-876-3495
Provider Business Practice Location Address
First Line : 200 BETHEL AVE
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-5216
Country : US
Telephone Number : 360-876-4171
Fax Number : 360-876-3495
Authorized Official
Title or Position : BILLING SPECIALIST
Name : JADE HANLEY
Credential :
Telephone Number : 360-876-4171
Provider Enumeration Date : 03/30/2026
Last Update Date : 03/30/2026

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Directions to “KITSAP CHIROPRACTIC CLINIC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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