Coffeyville Chiropractic

Organization Active NPI Chiropractor · Coffeyville, KS

NPI 1629318159 · NPPES record last updated Jul 1, 2013

Key facts

NPI
1629318159
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
License
01-05505 (KS)
Legal business name
COFFEYVILLE CHIROPRACTIC
Practice address
411 1/2 W 11TH St
Coffeyville, KS 67337-5020
Phone
(620) 688-6159
Fax
(620) 688-6159
NPI assigned
Feb 20, 2013
Organization subpart
No

Authorized official

Name
Dr. Traeger Nelson Tvedten, D.C. NPI 1669725396
Title
Chiropractor
Phone
(620) 688-6159

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

411 W 11th St
Coffeyville, KS 67337
Phone (620) 688-6159

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X 01-05505 KS Yes

Addresses

Primary practice location

411 1/2 W 11TH St
Coffeyville, KS 67337-5020

Mailing address

411 1/2 W 11TH St
Coffeyville, KS 67337-5020
Phone (620) 688-6159

Other providers in Coffeyville, KS

All providers in Coffeyville, KS · Chiropractor in Kansas

Sources for this page

Verify at the official NPI Registry.