MEDICARE: KENYDEE CYNTHIA ROOP

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	08003605A	IN

General Provider Information

NPI Number	:	1518899178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENYDEE CYNTHIA ROOP

Provider Business Mailing Address
First Line	:	109 W FELICITY ST
Second Line	:
City	:	ANGOLA
State	:	IN
Zip	:	46703-2108
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2521 E MARKET ST STE B
Second Line	:
City	:	NAPPANEE
State	:	IN
Zip	:	46550-9396
Country	:	US
Telephone Number	:	574-773-2220
Fax Number	:

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

Provider Enumeration Date	:	05/29/2026
Last Update Date	:	05/29/2026

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Directions to “ KENYDEE CYNTHIA ROOP ” Practice Location

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