Kenneth Robert Vandyken, DC | |
1808 Longfitt St, Richland, WA 99352-3719 | |
(360) 949-9890 | |
Not Available |
Full Name | Kenneth Robert Vandyken |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 8 Years |
Location | 1808 Longfitt St, Richland, Washington |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528417466 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CH60655952 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Spinal And Sports Care Clinic P S | 3971408881 | 3 |
Provider Name | Spinal & Sports Care Clinic P S |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1760699326 PECOS PAC ID: 3971408881 Enrollment ID: O20031204000252 |
Mailing Address | Practice Location Address |
---|---|
Kenneth Robert Vandyken, DC 1808 Longfitt St, Richland, WA 99352-3719 Ph: (360) 949-9890 | Kenneth Robert Vandyken, DC 1808 Longfitt St, Richland, WA 99352-3719 Ph: (360) 949-9890 |
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