Provider Demographics
NPI:1942870498
Name:KAM CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:KAM CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:646-409-9366
Mailing Address - Street 1:1441 BROADWAY STE 5052
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-1905
Mailing Address - Country:US
Mailing Address - Phone:646-409-9366
Mailing Address - Fax:718-866-1097
Practice Address - Street 1:1441 BROADWAY STE 5052
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-1905
Practice Address - Country:US
Practice Address - Phone:646-309-8999
Practice Address - Fax:718-866-1097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-28
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty