Provider Demographics
NPI:1831343466
Name:KUNKLE CHIROPRACTIC INC
Entity type:Organization
Organization Name:KUNKLE CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:KUNKLE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:530-821-5865
Mailing Address - Street 1:1215 PLUMAS ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-3455
Mailing Address - Country:US
Mailing Address - Phone:530-821-5865
Mailing Address - Fax:
Practice Address - Street 1:1215 PLUMAS ST
Practice Address - Street 2:SUITE 101
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-3455
Practice Address - Country:US
Practice Address - Phone:530-821-5865
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-10
Last Update Date:2020-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA230380111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty