Kyle John Pankonin in Lamberton - Chiropractor
Kyle John Pankonin - NPI 1366448276
Kyle John Pankonin is a Chiropractor in Lamberton, Minnesota. Kyle John Pankonin practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kyle John Pankonin is 1366448276. The last update date is 2010-07-12.
Kyle John Pankonin's current location address is 214 Main St, Lamberton, Minnesota. You can contact this provider via phone number 5077527650 and fax number 5077527635. The mailing address for Kyle John Pankonin is 214 Main St, Lamberton, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kyle John Pankonin |
|---|---|
| Address | 214 Main St, Lamberton, Minnesota |
| Phone Number | 5077527650 |
| Fax Number | 5077527635 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1366448276 |
|---|---|
| Provider Enumeration Date | 2005-06-24 |
| Last Updated Date | 2010-07-12 |
Provider Mailing Address Detail
| Address | 214 Main St |
|---|---|
| City | Lamberton |
| State | Minnesota (MN) |
| Post Code | 561521377 |
| Phone Number | 5077527650 |
| Fax Number | 5077527635 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC3858 |
|
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 |
|---|---|---|---|
| 15F52RE | MN | BLUE CROSS BLUE SHIELD | |
| 411508205 | MN | HEALTH SERVICES MANAGEMEN |
Post Comment/ Review Below
What is the unique identification code assigned to Kyle John Pankonin by the Centers for Medicare & Medicaid Services?
The Kyle John Pankonin has been issued the NPI (National Provider Identifier) 1366448276. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kyle John Pankonin?
The Kyle John Pankonin is situated at 214 Main St, in the city of Lamberton, state of MN, with the zip code 561521377.
What is Kyle John Pankonin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kyle John Pankonin is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did the Kyle John Pankonin receive the assignment of its 1366448276 from the Centers for Medicare & Medicaid Services?
The Kyle John Pankonin was issued its 1366448276 by the Centers for Medicare & Medicaid Services on 2005-06-24.
When was the information regarding Kyle John Pankonin most recently updated?
The details pertaining to the Kyle John Pankonin, including its address, specialty, and other relevant information, were last refreshed on 2010-07-12.