Jason Kenwood Keltgen in Sturgeon Bay - Chiropractor
Jason Kenwood Keltgen - NPI 1154526663
Jason Kenwood Keltgen is a Chiropractor in Sturgeon Bay, Wisconsin. Jason Kenwood Keltgen practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jason Kenwood Keltgen is 1154526663. The last update date is 2016-10-06.
Jason Kenwood Keltgen's current location address is 1444 Egg Harbor Rd, Sturgeon Bay, Wisconsin. You can contact this provider via phone number 9207432200 and fax number 9207432250. The mailing address for Jason Kenwood Keltgen is 1444 Egg Harbor Rd, Sturgeon Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Kenwood Keltgen |
|---|---|
| Address | 1444 Egg Harbor Rd, Sturgeon Bay, Wisconsin |
| Phone Number | 9207432200 |
| Fax Number | 9207432250 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1154526663 |
|---|---|
| Provider Enumeration Date | 2007-06-15 |
| Last Updated Date | 2016-10-06 |
Provider Mailing Address Detail
| Address | 1444 Egg Harbor Rd |
|---|---|
| City | Sturgeon Bay |
| State | Wisconsin (WI) |
| Post Code | 542351240 |
| Phone Number | 9207432200 |
| Fax Number | 9207432250 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4308 |
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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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What is the unique provider identifier assigned to Jason Kenwood Keltgen?
The Jason Kenwood Keltgen has been issued the NPI (National Provider Identifier) 1154526663 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Jason Kenwood Keltgen's physical address?
The Jason Kenwood Keltgen is physically located at 1444 Egg Harbor Rd, in the city of Sturgeon Bay, WI, with the postal code 542351240.
What is Jason Kenwood Keltgen's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jason Kenwood Keltgen is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.
On what date was the 1154526663 assigned to Jason Kenwood Keltgen?
The Jason Kenwood Keltgen was issued its 1154526663 on 2007-06-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jason Kenwood Keltgen most recently updated?
The details pertaining to the Jason Kenwood Keltgen, including its address, specialty, and other relevant information, were last refreshed on 2016-10-06.
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