Provider Demographics
NPI:1578952420
Name:PINNACLE CHIROPRACTIC & WELLNESS
Entity Type:Organization
Organization Name:PINNACLE CHIROPRACTIC & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:C
Authorized Official - Last Name:KUHN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:314-973-2834
Mailing Address - Street 1:4835 LEMAY FERRY RD STE A
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63129-1588
Mailing Address - Country:US
Mailing Address - Phone:314-973-2834
Mailing Address - Fax:314-329-6680
Practice Address - Street 1:4835 LEMAY FERRY RD STE A
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63129-1588
Practice Address - Country:US
Practice Address - Phone:314-973-2834
Practice Address - Fax:314-329-6680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-15
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014037142111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOMA5711Medicare PIN