MEDICARE: MCKNEE CHIROPRACTIC INC

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

General Provider Information

NPI Number	:	1679334205
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCKNEE CHIROPRACTIC INC

Provider Business Mailing Address
First Line	:	5855 GREEN VALLEY CIR STE 106
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90230-6965
Country	:	US
Telephone Number	:	310-730-3423
Fax Number	:

Provider Business Practice Location Address
First Line	:	5855 GREEN VALLEY CIR STE 106
Second Line	:
City	:	CULVER CITY
State	:	CA
Zip	:	90230-6965
Country	:	US
Telephone Number	:	310-730-3423
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CHIROPRACTOR
Name	:	DR. SEAN STEVEN MCKNEE
Credential	:	DC
Telephone Number	:	310-730-3423

Provider Enumeration Date	:	01/22/2024
Last Update Date	:	01/22/2024

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Directions to “MCKNEE CHIROPRACTIC INC ” Practice Location

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