MEDICARE: DR. DREW DAVID KYCYNKA D.C.

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	CH 6488	FL

General Provider Information

NPI Number	:	1629178827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DREW DAVID KYCYNKA D.C.

Provider Business Mailing Address
First Line	:	3091 ANDERSON SNOW RD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-5202
Country	:	US
Telephone Number	:	352-799-7753
Fax Number	:	352-799-7709

Provider Business Practice Location Address
First Line	:	3091 ANDERSON SNOW RD
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34609-5202
Country	:	US
Telephone Number	:	352-799-7753
Fax Number	:	352-799-7709

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

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	09/27/2011

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