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NPI Code Detail

MEDICARE: KRONLUND CHIROPRACTIC CLINIC, INC., P.S.

MEDICARE: KRONLUND CHIROPRACTIC CLINIC, INC., 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
1111N00000XChiropractorWA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10007778OTHERWADEPT. OF LABOR & INDUSTRI
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1831315332
Entity Type Code : Organization
Provider Name (Legal Business Name) : KRONLUND CHIROPRACTIC CLINIC, INC., P.S.
Provider Business Mailing Address
First Line : 3820 S 320TH ST
Second Line :
City : AUBURN
State : WA
Zip : 98001-3115
Country : US
Telephone Number : 253-839-2650
Fax Number : 253-839-4528
Provider Business Practice Location Address
First Line : 3820 S 320TH ST
Second Line :
City : AUBURN
State : WA
Zip : 98001-3115
Country : US
Telephone Number : 253-839-2650
Fax Number : 253-839-4528
Authorized Official
Title or Position : OWNER
Name : DR. TERRY M. KRONLUND
Credential : D.C.
Telephone Number : 253-839-2650
Provider Enumeration Date : 04/17/2007
Last Update Date : 10/26/2007

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Directions to “KRONLUND CHIROPRACTIC CLINIC, INC., P.S. ” Practice Location

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