MEDICARE: DR. CHARLES KUROWSKI

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	0104001318	VA

General Provider Information

NPI Number	:	1659363638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES KUROWSKI

Provider Business Mailing Address
First Line	:	121 HAMPTON HWY
Second Line	:
City	:	YORKTOWN
State	:	VA
Zip	:	23693-3510
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	121 HAMPTON HWY
Second Line	:
City	:	YORKTOWN
State	:	VA
Zip	:	23693-3510
Country	:	US
Telephone Number	:	757-867-7787
Fax Number	:

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

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	07/08/2007

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