Kenneth Frank Boscher in Conyers - Chiropractor
Kenneth Frank Boscher - NPI 1558425348
Kenneth Frank Boscher is a Chiropractor in Conyers, Georgia. Kenneth Frank Boscher practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kenneth Frank Boscher is 1558425348. The last update date is 2023-06-02.
Kenneth Frank Boscher's current location address is 2365 Wall St Se, Conyers, Georgia. You can contact this provider via phone number 7709228187 and fax number 7709229107. The mailing address for Kenneth Frank Boscher is 2365 Wall St Se, Conyers, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Frank Boscher |
|---|---|
| Address | 2365 Wall St Se, Conyers, Georgia |
| Phone Number | 7709228187 |
| Fax Number | 7709229107 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1558425348 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2023-06-02 |
Provider Mailing Address Detail
| Address | 2365 Wall St Se |
|---|---|
| City | Conyers |
| State | Georgia (GA) |
| Post Code | 300132197 |
| Phone Number | 7709228187 |
| Fax Number | 7709229107 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CHIR005124 |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1194100370 | GROUP NPI |
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What is the unique 10-digit identifier code assigned to Kenneth Frank Boscher by the Centers for Medicare & Medicaid Services?
The Kenneth Frank Boscher has been issued the NPI (National Provider Identifier) 1558425348 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Kenneth Frank Boscher located?
The Kenneth Frank Boscher is located at 2365 Wall St Se, Conyers, GA 300132197.
What is Kenneth Frank Boscher's area of expertise and its corresponding taxonomy classification?
The Kenneth Frank Boscher's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
When did Kenneth Frank Boscher receive its 1558425348 assignment?
The Kenneth Frank Boscher was assigned its 1558425348 on 2006-12-19, which is the date when this unique identifier was issued to the organization.
When was the Kenneth Frank Boscher's information last updated?
The Kenneth Frank Boscher's information was last updated on 2023-06-02.
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