MEDICARE: DR. KAH MOE DENEUS 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	CH9459	FL

General Provider Information

NPI Number	:	1700062551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAH MOE DENEUS D.C.

Provider Business Mailing Address
First Line	:	PO BOX 7204
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33482-7204
Country	:	US
Telephone Number	:	561-843-4742
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 S CONGRESS AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-6378
Country	:	US
Telephone Number	:	561-921-0200
Fax Number	:

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

Provider Enumeration Date	:	01/10/2008
Last Update Date	:	01/10/2008

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