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NPI Code Detail

MEDICARE: KAURICH CHIROPRACTIC, PC

MEDICARE: KAURICH CHIROPRACTIC, PC
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
1111N00000XChiropractor08001607AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568645323
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAURICH CHIROPRACTIC, PC
Provider Business Mailing Address
First Line : 21421 CLEVELAND RD
Second Line :
City : SOUTH BEND
State : IN
Zip : 46628-3507
Country : US
Telephone Number : 574-282-2828
Fax Number : 574-282-1802
Provider Business Practice Location Address
First Line : 21421 CLEVELAND RD
Second Line :
City : SOUTH BEND
State : IN
Zip : 46628-3507
Country : US
Telephone Number : 574-282-2828
Fax Number : 574-282-1802
Authorized Official
Title or Position : OWNER
Name : DR. KEVIN WILLIAM KAURICH
Credential : D.C,
Telephone Number : 574-282-2828
Provider Enumeration Date : 12/14/2007
Last Update Date : 07/15/2024

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Directions to “KAURICH CHIROPRACTIC, PC ” Practice Location

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