Individual provider Active NPI

Keith Alan Kuch, DC

  • Chiropractor
  • Mankato, MN
National Provider Identifier
1124026786
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2567 Issued in MN
Practice address
1704 N Riverfront Dr
Suite 101
Mankato, MN 56001-3259
Phone
(507) 387-1222
Fax
(507) 387-2563
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2567 MN Primary

Addresses

Primary practice location

1704 N Riverfront Dr
Suite 101
Mankato, MN 56001-3259

Mailing address

1704 N Riverfront Dr
Suite 101
Mankato, MN 56001-3259
Phone (507) 387-1222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040207000085 MN Practitioner - Chiropractic 8921991324 Reassigns benefits to 1 organization
Practice locations: Mankato, MN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2567MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stenzel Chiropractic Clinic, PLLC Chiropractor CurrentSince Sep 3, 2024 Accepting new patients
Keith Kuch Chiropractor CurrentSince Jul 5, 2022 Accepting new patients
Potential Health PA Chiropractor Past Accepting new patients

Locations

1704 N Riverfront Dr
Ste 101
Mankato, MN 56001
Phone (507) 387-1222

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1124026786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 N RIVERFRONT DR",
            "address_2": "SUITE 101",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013259",
            "telephone_number": "507-387-1222",
            "fax_number": "507-387-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 N RIVERFRONT DR",
            "address_2": "SUITE 101",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013259",
            "telephone_number": "507-387-1222",
            "fax_number": "507-387-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCH",
        "first_name": "KEITH",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.