Provider Demographics
NPI:1598400152
Name:CAPLE, MCKENNA C (DC)
Entity Type:Individual
Prefix:DR
First Name:MCKENNA
Middle Name:C
Last Name:CAPLE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1802 KANE ST
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54603-2129
Mailing Address - Country:US
Mailing Address - Phone:715-566-1137
Mailing Address - Fax:
Practice Address - Street 1:402 6TH ST S
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-4505
Practice Address - Country:US
Practice Address - Phone:608-785-2225
Practice Address - Fax:608-782-2947
Is Sole Proprietor?:No
Enumeration Date:2022-04-28
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5756-12111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor