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
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 2301010298 (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.