Kuethe Chiropractic
Organization Active NPI Chiropractor · Davenport, IA
NPI 1659697332 · NPPES record last updated Mar 5, 2018
Key facts
- NPI
- 1659697332
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 007293 (IA)
- Legal business name
- KUETHE CHIROPRACTIC
- Practice address
- 1333 W Lombard St
Davenport, IA 52804-2101 - Phone
- (563) 388-6364
- NPI assigned
- Apr 20, 2010
- Organization subpart
- No
Authorized official
- Name
- Clay Kuethe, D.C.
- Title
- Owner
- Phone
- (563) 388-6364
Practitioners 10
-
Clay Kuethe, D.C.
-
Yasmeen Amina Khan, DC, MS, MA
-
Yunus Kowi, D.C
-
Magen Marie Lange, D.C.
-
Matthew Paul McCart, D.C.
-
Howard Alfred Pettersson, D.C.
-
Kevin James Wapelhorst, D.C.
-
William Stephen Mihin, D.C.
-
Jennifer Louise Schulz, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100430000567 | IA | Part B Supplier - Clinic/Group Practice | 8820126410 |
Receives reassigned benefits from 1 practitioner Practice locations: Davenport, IA |
National Provider Directory
Locations
516 W 35th St
Stop 2
Davenport, IA 52806
Phone (563) 388-6364
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 007293 | IA | Yes |
Addresses
Primary practice location
1333 W Lombard St
Davenport, IA 52804-2101
Mailing address
1333 W Lombard St
Davenport, IA 52804-2101
Phone (563) 388-6364
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2018. 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.