Provider Demographics
NPI:1629118252
Name:KNAPP, KYLE RAYMOND (DC)
Entity Type:Individual
Prefix:DR
First Name:KYLE
Middle Name:RAYMOND
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 1:1880 N STONEBRIDGE DR STE 240
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75071-7562
Mailing Address - Country:US
Mailing Address - Phone:972-488-4994
Mailing Address - Fax:
Practice Address - Street 1:1880 N STONEBRIDGE DR STE 240
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75071-7562
Practice Address - Country:US
Practice Address - Phone:972-488-4994
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2022-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30471111N00000X
TX10897111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor