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NPI Code Detail

MEDICARE: DR. KENNETH FELCH CHIROPRACTIC PROFESSIONAL CORPORATION

MEDICARE: DR. KENNETH FELCH CHIROPRACTIC PROFESSIONAL CORPORATION
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
1111N00000XChiropractorDC28786CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ZZZZ06912ZOTHERCAPTAN

General Provider Information

NPI Number : 1588709323
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. KENNETH FELCH CHIROPRACTIC PROFESSIONAL CORPORATION
Provider Business Mailing Address
First Line : 644 FREMONT AVE
Second Line :
City : LOS ALTOS
State : CA
Zip : 94024-4812
Country : US
Telephone Number : 650-948-8900
Fax Number : 650-948-8827
Provider Business Practice Location Address
First Line : 644 FREMONT AVE
Second Line :
City : LOS ALTOS
State : CA
Zip : 94024-4812
Country : US
Telephone Number : 650-948-8900
Fax Number : 650-948-8827
Authorized Official
Title or Position : PRESIDENT
Name : DR. KENNETH WILLIAM FELCH
Credential : D.C.
Telephone Number : 650-948-8900
Provider Enumeration Date : 02/20/2007
Last Update Date : 11/08/2013

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Directions to “DR. KENNETH FELCH CHIROPRACTIC PROFESSIONAL CORPORATION ” Practice Location

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