Kyle John Kinsley, DC
Individual provider Active NPI Chiropractor · Waverly, NY
NPI 1134895295 · NPPES record last updated Aug 19, 2021
Key facts
- NPI
- 1134895295
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 013494 (NY)
- Practice address
- 551 Broad St
Waverly, NY 14892-1502 - Phone
- (607) 565-9212
- NPI assigned
- Aug 19, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
551 Broad St
Waverly, NY 14892-1502
Phone (607) 565-9212
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220727003763 | NY | Practitioner - Chiropractic | 1254713977 | Practice locations: Waverly, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 013494 | NY | Yes |
Addresses
Primary practice location
551 Broad St
Waverly, NY 14892-1502
Mailing address
551 Broad St
Waverly, NY 14892-1502
Phone (607) 565-9212
Other providers in Waverly, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.