K Group PC
Organization Active NPI Chiropractor · Langdon, ND
NPI 1285021634 · NPPES record last updated Jun 30, 2015
Key facts
- NPI
- 1285021634
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1000 (ND)
- Legal business name
- K GROUP PC
- Practice address
- 602 3Rd St
Langdon, ND 58249-2622 - Phone
- (701) 256-2720
- NPI assigned
- Apr 23, 2015
- Organization subpart
- No
Authorized official
- Name
- Dr. Kenneth Carwile, D.C.
- Title
- President
- Phone
- (605) 641-8353
Practitioners 1
-
Kenneth Carwile, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ND
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150630000475 | ND | Part B Supplier - Clinic/Group Practice | 9234441569 |
Receives reassigned benefits from 1 practitioner Practice locations: Langdon, ND |
National Provider Directory
Locations
602 3rd St
Langdon, ND 58249
Phone (701) 256-2720
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 1000 | ND | Yes |
Addresses
Primary practice location
602 3Rd St
Langdon, ND 58249-2622
Mailing address
602 3Rd St
Langdon, ND 58249-2622
Other names
- Keystone Chiropractic
Other providers in Langdon, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2015. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.