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NPI Code Detail

MEDICARE: DR. HEATHER KIRKMAN ESCOBAR D.C.

MEDICARE: DR. HEATHER KIRKMAN ESCOBAR 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
1111N00000XChiropractor2004026213MO
2111N00000XChiropractorDCP00541RI

General Provider Information

NPI Number : 1922182401
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEATHER KIRKMAN ESCOBAR D.C.
Provider Business Mailing Address
First Line : 1001 BOARDWALK SPRINGS PL
Second Line : SUITE 111
City : O FALLON
State : MO
Zip : 63368-4778
Country : US
Telephone Number : 636-695-4124
Fax Number : 636-755-2901
Provider Business Practice Location Address
First Line : 1001 BOARDWALK SPRINGS PL
Second Line : SUITE 111
City : O FALLON
State : MO
Zip : 63368-4778
Country : US
Telephone Number : 636-695-4124
Fax Number : 636-755-2901
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2006
Last Update Date : 10/21/2009

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