# KINTNER CHIROPRACTIC CENTER, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861520397
- **Authorized official:** DR. MARY H KINTNER R.N., D.C. (OWNER)
- **Authorized official phone:** (802) 899-5400

## Contact information

- **Practice address:** 397 VT ROUTE 15, JERICHO, VT 05465-2044
- **Practice address phone:** (802) 899-5400
- **Mailing address:** PO BOX 63, UNDERHILL, VT 05489-0063
- **Mailing address phone:** (802) 899-5400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | 06834 | VT | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 12/03/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00009924 | BCBSVT PROVIDER | VT |
| 01 | — | 00028821 | BCBSVT GROUP | VT |