| Kinach Chiropractic LLC | |
|
23505 Smithtown Rd Ste 100 Excelsior MN 55331 | |
| (612) 217-1159 | |
| (952) 295-0591 |
| Full Name | Kinach Chiropractic LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 23505 Smithtown Rd, Excelsior, Minnesota |
| Authorized Official Name and Position | Andrew Mark Kinach (OWNER) |
| Authorized Official Contact | 6122171159 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kinach Chiropractic LLC 23505 Smithtown Rd Ste 100 Excelsior MN 55331 Ph: (612) 217-1159 | Kinach Chiropractic LLC 23505 Smithtown Rd Ste 100 Excelsior MN 55331 Ph: (612) 217-1159 |
| NPI Number | 1386388775 |
|---|---|
| Provider Enumeration Date | 04/22/2022 |
| Last Update Date | 07/28/2026 |
| Certification Date | 07/28/2026 |
| Medicare PECOS PAC ID | 9234517798 |
|---|---|
| Medicare Enrollment ID | O20220613000971 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386388775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Andrew Mark Kinach |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1821744434 PECOS PAC ID: 0143608604 Enrollment ID: I20220613001532 |
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