MEDICARE: KI HOLDINGS

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	7799	AZ

General Provider Information

NPI Number	:	1871821736
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KI HOLDINGS

Provider Business Mailing Address
First Line	:	6027 N 11TH AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85013-1414
Country	:	US
Telephone Number	:	602-531-4972
Fax Number	:

Provider Business Practice Location Address
First Line	:	720 E THUNDERBIRD RD
Second Line	:	SUITE 1
City	:	PHOENIX
State	:	AZ
Zip	:	85022-5396
Country	:	US
Telephone Number	:	602-439-1515
Fax Number	:	602-439-1535

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. KATHERINE IACUONE
Credential	:	D.C.
Telephone Number	:	602-531-4972

Provider Enumeration Date	:	12/03/2009
Last Update Date	:	01/06/2010

Similar Medicare Providers

1659378438 — JAMES D. FALK D.D.S.
Practice Location Address:

720 E THUNDERBIRD RD , # 2
PHOENIX, AZ
85022-5396

Practice Phone: 602-863-3000
Practice Fax: 602-942-5249

1104854520 — DAVID JAMES IACUONE D.C.
Practice Location Address:

720 E THUNDERBIRD RD STE 1
PHOENIX, AZ
85022-5396

Practice Phone: 602-439-1515
Practice Fax: 602-439-1535

1699708594 — KP CHIROPRACTIC PC
Practice Location Address:

720 E THUNDERBIRD RD , SUITE #1
PHOENIX, AZ
85022-5396

Practice Phone: 602-439-1515
Practice Fax: 602-439-1535

1881604981 — DR. MICHAEL R. HULL JR. DDS
Practice Location Address:

720 E THUNDERBIRD RD STE 2
PHOENIX, AZ
85022-5396

Practice Phone: 602-863-3000
Practice Fax:

1992840102 — DR. KATHERINE CELESTE IACUONE DC
Practice Location Address:

720 E THUNDERBIRD RD , #1
PHOENIX, AZ
85022-5396

Practice Phone: 602-439-1515
Practice Fax:

1245368794 — JOHN M. HOLDER DO
Practice Location Address:

720 E THUNDERBIRD RD , STE 3
PHOENIX, AZ
85022-5396

Practice Phone: 602-866-8603
Practice Fax: 602-866-2413

Directions to “KI HOLDINGS ” Practice Location

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