KC Core MN PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

007601 Issued in IA

Legal business name

KC CORE MN PLLC

Practice address

6545 France Ave S
Suite 301
Edina, MN 55435-2131

Phone

(712) 229-8837

NPI assigned

Jan 17, 2017

Organization subpart

No

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

Authorized official

Name

Grant M Nobles, D.C.

Title

Owner/Chiropractor

Phone

(712) 229-8837

Specialties & licenses 1

Addresses

Other names 1

• KC CORE Doing business as

Locations

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1952847741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 FRANCE AVE S",
            "address_2": "SUITE 301",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6545 FRANCE AVE S",
            "address_2": "SUITE 301",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352131",
            "telephone_number": "712-229-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC CORE MN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "NOBLES",
        "authorized_official_first_name": "GRANT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "712-229-8837",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KC CORE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane Carol Kaus, OA, ST
• Kavana Care MN LLC
• Kaylen Jackson Nutrition LLC
• William M Kaylor Jr., MD
• Mumtaz Kazim, M.D.
• John Robert Kearns, M.D.
• Kristen Pearl Kearns, LPCC
• Brian Todd Keasling, ATC
• Maria Andersen Keeler
• Nicole Ann Keen, LICSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.