Provider Demographics
NPI:1770659534
Name:KUHSE, JODI KAY (DC)
Entity type:Individual
Prefix:
First Name:JODI
Middle Name:KAY
Last Name:KUHSE
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 1:608 GREENE ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:ADEL
Mailing Address - State:IA
Mailing Address - Zip Code:50003-1827
Mailing Address - Country:US
Mailing Address - Phone:515-993-1117
Mailing Address - Fax:515-993-1118
Practice Address - Street 1:608 GREENE ST
Practice Address - Street 2:SUITE C
Practice Address - City:ADEL
Practice Address - State:IA
Practice Address - Zip Code:50003-1827
Practice Address - Country:US
Practice Address - Phone:515-993-1117
Practice Address - Fax:515-993-1118
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-24
Last Update Date:2008-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA06209111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1196972Medicaid
IAU74260Medicare UPIN
IA1196972Medicaid