| Kulow Chiropractic & Wellness Center Pllc | |
|
218 E Main St Brenham TX 77833-3780 | |
| (979) 830-7055 | |
| (979) 353-5544 |
| Full Name | Kulow Chiropractic & Wellness Center Pllc |
|---|---|
| Speciality | Chiropractor |
| Location | 218 E Main St, Brenham, Texas |
| Authorized Official Name and Position | Kellie L Kulow (OWNER) |
| Authorized Official Contact | 9798307055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kulow Chiropractic & Wellness Center Pllc Po Box 321 Brenham TX 77834-0321 Ph: (979) 830-7055 | Kulow Chiropractic & Wellness Center Pllc 218 E Main St Brenham TX 77833-3780 Ph: (979) 830-7055 |
| NPI Number | 1720385636 |
|---|---|
| Provider Enumeration Date | 02/12/2011 |
| Last Update Date | 03/20/2019 |
| Medicare PECOS PAC ID | 3173866530 |
|---|---|
| Medicare Enrollment ID | O20190528002420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720385636 | NPI | - | NPPES |
| 1043229032 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 9361 (Texas) | Secondary |
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Kellie L Kulow |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1043229032 PECOS PAC ID: 9436169927 Enrollment ID: I20060427000708 |
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