Kyle M Longo in Clarksville - Chiropractor

Kyle M Longo - NPI 1003909128

Kyle M Longo is a Chiropractor in Clarksville, Tennessee. Kyle M Longo practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kyle M Longo is 1003909128. The last update date is 2011-09-29.

Kyle M Longo's current location address is 2269 Wilma Rudolph Blvd Ste 107, Clarksville, Tennessee. You can contact this provider via phone number 9319051720 and fax number 9319051721. The mailing address for Kyle M Longo is 2269 Wilma Rudolph Blvd Ste 107, Clarksville, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Kyle M Longo
Address 2269 Wilma Rudolph Blvd Ste 107, Clarksville, Tennessee
Phone Number 9319051720
Fax Number 9319051721
Sole Proprietor N
Credentials D.C.

NPI Number Detail

NPI Number 1003909128
Provider Enumeration Date 2006-10-02
Last Updated Date 2011-09-29

Provider Mailing Address Detail

Address 2269 Wilma Rudolph Blvd Ste 107
City Clarksville
State Tennessee (TN)
Post Code 370408416
Phone Number 9319051720
Fax Number 9319051721

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 2132
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
4218740 TN BCBS PROVIDER#

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FAQs about Kyle M Longo

What is the unique 10-digit identifier code assigned to Kyle M Longo by the Centers for Medicare & Medicaid Services?

The Kyle M Longo has been issued the NPI (National Provider Identifier) 1003909128 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Kyle M Longo's physical address?

The Kyle M Longo is physically located at 2269 Wilma Rudolph Blvd Ste 107, in the city of Clarksville, TN, with the postal code 370408416.

What is the area of specialization for Kyle M Longo, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kyle M Longo is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1003909128 to Kyle M Longo?

The Kyle M Longo received its 1003909128 assignment from the Centers for Medicare & Medicaid Services on 2006-10-02.

As of what date were the details pertaining to Kyle M Longo last refreshed?

The information related to the Kyle M Longo, including its address, specialty, and other relevant details, was last updated on 2011-09-29.

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