Provider Demographics
NPI:1780707091
Name:KARY, JOSHUA A (DC)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:A
Last Name:KARY
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 1:8519 EAGLE POINT BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:LAKE ELMO
Mailing Address - State:MN
Mailing Address - Zip Code:55042-8630
Mailing Address - Country:US
Mailing Address - Phone:651-731-1880
Mailing Address - Fax:651-739-6029
Practice Address - Street 1:8519 EAGLE POINT BLVD STE 110
Practice Address - Street 2:
Practice Address - City:LAKE ELMO
Practice Address - State:MN
Practice Address - Zip Code:55042-8630
Practice Address - Country:US
Practice Address - Phone:651-731-1880
Practice Address - Fax:651-739-6029
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4486111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor