Provider Demographics
NPI:1740320910
Name:MUHICH, KENNETH F (DC)
Entity type:Individual
Prefix:DR
First Name:KENNETH
Middle Name:F
Last Name:MUHICH
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 1:8300 N HAYDEN
Mailing Address - Street 2:A109
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258
Mailing Address - Country:US
Mailing Address - Phone:480-948-4955
Mailing Address - Fax:480-948-4669
Practice Address - Street 1:8300 N HAYDEN RD
Practice Address - Street 2:SUITE A109
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258
Practice Address - Country:US
Practice Address - Phone:480-948-4955
Practice Address - Fax:480-948-4669
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4279111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ0941930OtherB CROSS BLUE SHIELD
T41975Medicare UPIN