Mikayla A Klym, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

013419 Issued in NY

Practice address

417 Market St
Kingston, PA 18704-5418

Phone

(570) 283-1011

NPI assigned

Mar 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cohen and Haydu Chiropractic Clinic, PCGroup PAC ID 8729259387, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cohen & Haydu Chiropractic Clinic, PC

  • Chiropractor
  • Kingston, PA
  • NPI 1720263486
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1275110736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 MARKET ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045418",
            "telephone_number": "570-283-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 MARKET ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045418",
            "telephone_number": "570-283-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLYM",
        "first_name": "MIKAYLA",
        "middle_name": "A",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kingston SNF Operations, LLC
• Kingston Spine & Sport Physical Therapy PC
• Mary Kathleen Kirchner
• Jacqueline Kishbaugh, BCBA
• Allison Kleinman, LSW
• Kimberly Anne Konnick, MS, OTR/L
• Ann Marie Monica Kopec, LCSW
• Jonathan Robert Kopka, CRNA
• Judith N Koral, LPC MAC
• Michael E. Kordek, M.D.

• Chiropractor in Kingston, PA
• Providers in Kingston, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.