Kirk Robert Johnson in Fayetteville - Chiropractor

Kirk Robert Johnson - NPI 1871587261

Kirk Robert Johnson is a Chiropractor in Fayetteville, Arkansas. Kirk Robert Johnson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kirk Robert Johnson is 1871587261. The last update date is 2007-07-08.

Kirk Robert Johnson's current location address is 715 N College Ave, Fayetteville, Arkansas. You can contact this provider via phone number 4794420352 and fax number 4794424181. The mailing address for Kirk Robert Johnson is 715 N College Ave, Fayetteville, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Kirk Robert Johnson
Address 715 N College Ave, Fayetteville, Arkansas
Phone Number 4794420352
Fax Number 4794424181
Sole Proprietor X
Credentials DC

NPI Number Detail

NPI Number 1871587261
Provider Enumeration Date 2005-08-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 715 N College Ave
City Fayetteville
State Arkansas (AR)
Post Code 727013407
Phone Number 4794420352
Fax Number 4794424181

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 933
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7875281 AETNA
14821000040 AR QUAL CHOICE OF AR

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FAQs about Kirk Robert Johnson

What is the unique 10-digit identifier code issued to Kirk Robert Johnson by the Centers for Medicare & Medicaid Services?

The Kirk Robert Johnson has been assigned the NPI (National Provider Identifier) 1871587261 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Kirk Robert Johnson is physically located?

The Kirk Robert Johnson is situated at the following address: 715 N College Ave, Fayetteville, AR 727013407.

What is Kirk Robert Johnson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kirk Robert Johnson is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.

On what date did Kirk Robert Johnson receive its 1871587261 assignment from the Centers for Medicare & Medicaid Services?

The Kirk Robert Johnson was assigned its 1871587261 on 2005-08-31, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Kirk Robert Johnson last refreshed?

The information related to the Kirk Robert Johnson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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