MEDICARE: DR. DENNIS ROBERT KASH DC

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	2301400159	MI

General Provider Information

NPI Number	:	1720163074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENNIS ROBERT KASH DC

Provider Business Mailing Address
First Line	:	1324 W AUBURN
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-4386
Country	:	US
Telephone Number	:	248-299-4447
Fax Number	:	248-299-1816

Provider Business Practice Location Address
First Line	:	1324 W AUBURN
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48309-4386
Country	:	US
Telephone Number	:	248-299-4447
Fax Number	:	248-299-1816

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

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	07/08/2007

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