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NPI Code Detail

MEDICARE: KIRKLAND CHIROPRACTIC & MASSAGE, P.S.

MEDICARE: KIRKLAND CHIROPRACTIC & MASSAGE, P.S.
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
1111N00000XChiropractorCH00033791WA

General Provider Information

NPI Number : 1740588201
Entity Type Code : Organization
Provider Name (Legal Business Name) : KIRKLAND CHIROPRACTIC & MASSAGE, P.S.
Provider Business Mailing Address
First Line : 6515 132ND AVE NE
Second Line :
City : KIRKLAND
State : WA
Zip : 98033-8628
Country : US
Telephone Number : 425-822-4326
Fax Number : 425-827-3572
Provider Business Practice Location Address
First Line : 6515 132ND AVE NE
Second Line :
City : KIRKLAND
State : WA
Zip : 98033-8628
Country : US
Telephone Number : 425-822-4326
Fax Number : 425-827-3572
Authorized Official
Title or Position : OWNER/DOCTOR OF CHIROPRACTIC
Name : DR. MATTHEW GOLDEN LARSON
Credential : D.C.
Telephone Number : 425-822-4326
Provider Enumeration Date : 03/08/2011
Last Update Date : 03/26/2011

Similar Medicare Providers

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Practice Location Address:
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Practice Fax: 425-827-3572
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Practice Fax:
1356576011 — MS. WENDY GEUDER LMP
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KIRKLAND, WA
98033-8628
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Practice Fax:
1043510753 — BOBBY WHITE LMP
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KIRKLAND, WA
98033-8628
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Practice Fax:
1720325202 — BREANNA RENEE LAZENBY LMP
Practice Location Address:
6515 132ND AVE NE
KIRKLAND, WA
98033-8628
Practice Phone: 425-822-4326
Practice Fax: 425-827-3572

Directions to “KIRKLAND CHIROPRACTIC & MASSAGE, P.S. ” Practice Location

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