KINESIOLOGY CENTER OF GREATER ST LOUIS INC NPI 1649296583

NPI Information

NPI: 1649296583
Provider Name: KINESIOLOGY CENTER OF GREATER ST LOUIS INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
608 NO MCKNIGHT RD
ST LOUIS, MO
ZIP 63132
Phone: (314) 991-5655
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KINESIOLOGY CENTER OF GREATER ST LOUIS INC is a chiropractor in St Louis, MO. The provider is 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 interrelationship with other body systems. KINESIOLOGY CENTER OF GREATER ST LOUIS INC NPI is 1649296583. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

608 NO MCKNIGHT RD
ST LOUIS, MO
ZIP 63132-911
Phone: (314) 991-5655
Fax: (314) 991-4872

The provider's authorized official is Katharine M Conable .
The authorized official title is Vice President and has the following contact phone number (314) 991-5655.

The enumeration date for this NPI number is 7/14/2006 and was last updated on 3/27/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		3930	MISSOURI	No
2	111N00000X	Chiropractor				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	3930	OTHER	MISSOURI LICENSE
2	10315X	OTHER	EMPIRE BLUE CROSS
3	4327678	OTHER	AETNA
4	179148	OTHER	HEALTHLINK
5	T43251	MEDICARE UPIN
6	2086	MEDICARE ID-TYPE UNSPECIFIED	MISSOURI LICENSE BERT T H
7	084723	OTHER	HEALTH ALLIANCE
8	990001765	MEDICARE ID-TYPE UNSPECIFIED
9	178246	OTHER	HEALTHLINK
10	10146X	OTHER	EMPIRE BLUE CROSS
11	7412	OTHER	BLUE CROSS BS OF MO
12	=========	OTHER	FEDERAL TAX ID
13	57883	OTHER	GROUP HEALTH PLAN
14	000032177	MEDICARE ID-TYPE UNSPECIFIED
15	000032176	MEDICARE ID-TYPE UNSPECIFIED
16	990001765	OTHER	RR MEDICARE GROUP PIN
17	350045267	OTHER	RAILROAD MEDICARE
18	T42953	MEDICARE UPIN
19	=========HAN	OTHER	MERCY HEALTH PLAN
20	4582036	OTHER	AETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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