Koenke, Kyle Andrew
Koenke, Kyle Andrew is an individual health care provider with primary practice located at 1066 N Power Rd Ste 104 , Mesa AZ 85205-5709. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Koenke, Kyle Andrew can be contacted via phone (480) 830-7288.Contact Information
Primary practice address
1066 N Power Rd Ste 104
Mesa AZ 85205-5709
Phone: (480) 830-7288
Fax: (480) 985-7255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | 7157 | Arizona |
Profile Details
| NPI number | 1497815575 |
|---|---|
| LBN Legal business name | Koenke, Kyle Andrew |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 11th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497815575 | NPPES |
| Arizona | Other | RRP00086254 | RRBCBS |
| Arizona | Other | AZ0943870 | RRBCBS |
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