Provider Demographics
NPI:1326327131
Name:KNAPP, KURT DANIEL (DC)
Entity Type:Individual
Prefix:
First Name:KURT
Middle Name:DANIEL
Last Name:KNAPP
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 1:1384 VERA DR.
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49242-9823
Mailing Address - Country:US
Mailing Address - Phone:517-437-4767
Mailing Address - Fax:517-437-0567
Practice Address - Street 1:1384 VERA DR.
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:MI
Practice Address - Zip Code:49242-9823
Practice Address - Country:US
Practice Address - Phone:517-437-4767
Practice Address - Fax:517-437-0567
Is Sole Proprietor?:No
Enumeration Date:2011-08-10
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIKK009841111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2061921OtherCIGNA
MI900051293OtherPRIORITY HEALTH
MI0009012750OtherAETNA
MI97941OtherMERIDIAN HEALTH PLAN
MI12275434OtherCAQH
MI1326327131Medicaid
MI97941OtherMERIDIAN HEALTH PLAN