| Malden Chiropractic L.l.c. | |
|
123 W Main St, Malden, MO 63863-2162 | |
| (573) 276-3892 | |
| (573) 276-3893 |
| Full Name | Malden Chiropractic L.l.c. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 123 W Main St, Malden, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033416326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2010014270 (Missouri) | Primary |
| Provider Name | Kassandra N Riley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1316257868 PECOS PAC ID: 6002091691 Enrollment ID: I20110425000816 |
| Mailing Address | Practice Location Address |
|---|---|
| Malden Chiropractic L.l.c. 123 W Main St, Malden, MO 63863-2162 Ph: (573) 276-3892 | Malden Chiropractic L.l.c. 123 W Main St, Malden, MO 63863-2162 Ph: (573) 276-3892 |
Dr. Kassandra Nicole Everett, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1201 N Douglass St, Malden, MO 63863 Phone: 573-276-3892 Fax: 573-276-3893 | |
Malden Chiropractic Health Center, P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2103 N Douglass St, Malden, MO 63863 Phone: 573-276-3892 Fax: 573-276-6600 |