Kilcup, Darrell R

Kilcup, Darrell R is an sole proprietor health care provider with primary practice located at 7016 N 27Th Ave , Phoenix AZ 85051-8402. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kilcup, Darrell R can be contacted via phone (602) 864-0304.

Contact Information

Primary practice address
7016 N 27Th Ave Phoenix AZ 85051-8402
Fax: (602) 864-0990
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4935 Arizona

Profile Details

NPI number 1285633826
LBN Legal business name Kilcup, Darrell R
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2005
Last updated Jun 16th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285633826 NPPES
Arizona Other AZ0930450 BCBS PIN #

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