Provider Demographics
NPI:1205154382
Name:KINNEY CHIROPRACTIC HEALTHCARE, LLC
Entity type:Organization
Organization Name:KINNEY CHIROPRACTIC HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TROY
Authorized Official - Middle Name:
Authorized Official - Last Name:KINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:972-768-7518
Mailing Address - Street 1:5805 SAINTSBURY WEST
Mailing Address - Street 2:SUITE 107
Mailing Address - City:THE COLONY
Mailing Address - State:TX
Mailing Address - Zip Code:75056
Mailing Address - Country:US
Mailing Address - Phone:972-820-5880
Mailing Address - Fax:972-820-5878
Practice Address - Street 1:5805 SAINTSBURY DR
Practice Address - Street 2:SUITE 107
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056-5459
Practice Address - Country:US
Practice Address - Phone:972-820-5880
Practice Address - Fax:972-820-5878
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-13
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty