Individual provider · Type 1 NPI

Kyle Banner, D.C

Chiropractor · Grand Rapids, MI

NPI number 1366834780 Active

Practice location

1543 Gladstone Dr SE
Grand Rapids, MI 49506-3922

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X2301010298 (MI)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1366834780

Kyle Banner, D.C's National Provider Identifier is 1366834780, issued on Feb 22, 2015. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Feb 22, 2015.