Provider Demographics
NPI:1225037369
Name:JAMES, KIRK ANDREW (DC)
Entity Type:Individual
Prefix:DR
First Name:KIRK
Middle Name:ANDREW
Last Name:JAMES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2062 TALBERT DR
Mailing Address - Street 2:STE 500
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-7707
Mailing Address - Country:US
Mailing Address - Phone:530-566-1234
Mailing Address - Fax:530-566-1124
Practice Address - Street 1:2062 TALBERT DR
Practice Address - Street 2:#500
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-7679
Practice Address - Country:US
Practice Address - Phone:530-566-1234
Practice Address - Fax:530-566-1124
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-20
Last Update Date:2017-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC22722111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU47155Medicare UPIN
CADC0227220Medicare ID - Type Unspecified