Provider Demographics
NPI:1891827762
Name:KUENZEL, DEBORAH ANN (DC)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:ANN
Last Name:KUENZEL
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:PO BOX 282
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:MA
Mailing Address - Zip Code:01516-0282
Mailing Address - Country:US
Mailing Address - Phone:508-476-7500
Mailing Address - Fax:508-476-9875
Practice Address - Street 1:271 MAIN ST.
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:MA
Practice Address - Zip Code:01516
Practice Address - Country:US
Practice Address - Phone:508-476-7500
Practice Address - Fax:508-476-9875
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2247111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA352215OtherHARVARD PILGRIM
MAY36931OtherBCBS
MAY39678OtherBCBS
MA461407OtherTUFTS
MAY45632Medicare ID - Type Unspecified
MA352215OtherHARVARD PILGRIM
MAY36931OtherBCBS