Provider Demographics
NPI:1629118187
Name:MCANSH, KIRK C (DC)
Entity Type:Individual
Prefix:DR
First Name:KIRK
Middle Name:C
Last Name:MCANSH
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 1:131 RIVER ST
Mailing Address - Street 2:
Mailing Address - City:ALPENA
Mailing Address - State:MI
Mailing Address - Zip Code:49707-5404
Mailing Address - Country:US
Mailing Address - Phone:989-356-9355
Mailing Address - Fax:989-356-9355
Practice Address - Street 1:131 RIVER ST
Practice Address - Street 2:
Practice Address - City:ALPENA
Practice Address - State:MI
Practice Address - Zip Code:49707-5404
Practice Address - Country:US
Practice Address - Phone:989-356-9355
Practice Address - Fax:989-356-9355
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301005466111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor