Kelly V. Kuka, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4632 Issued in MN

Practice address

12805 State Highway 55
Suite 208
Plymouth, MN 55441

Phone

(763) 557-7399

NPI assigned

Nov 16, 2006

Last updated

Sep 26, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

• Balanced Health Chiropractic, PA

  • Chiropractor
  • Plymouth, MN
  • NPI 1003038464
  Authorized official Same address or phone

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1649343856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9035 BLAISDELL AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554203617",
            "telephone_number": "612-644-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12805 STATE HIGHWAY 55",
            "address_2": "SUITE 208",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "55441",
            "telephone_number": "763-557-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKA",
        "first_name": "KELLY",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane K Krump, BCMT, CRT
• Benjamin Kruse
• Katelyn Sarah Kubista, MSW, LICSW
• Tessa Elizabeth Kuechenmeister
• Kristin K Kuehl, DPT
• Sergey V Kulikov, MD
• Thomas Kulus
• Maria Louise Kuross
• Bethany Kurth, DNAP, CRNA
• Owen Payne Kusick

• Chiropractor in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.