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Individual

DR. KYLE A KNOELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC, MHA, CCCSMP, CCI

Contact information

Practice address
540 BORDENTOWN AVE, 4 FL, SUITE 4900, SOUTH AMBOY, NJ 08879
(732) 721-3300
(732) 721-3302
Mailing address
PO BOX 61, EAST BRUNSWICK, NJ 08816-0061
(732) 721-3300
(732) 721-3302

Taxonomy

Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
38MC00521600
TX
111NR0400X
Rehabilitation Chiropractor
38MC00521600
NY
111NS0005X
Sports Physician Chiropractor
Primary
38MC00521600
NJ
111NS0005X
Sports Physician Chiropractor
38MC00521600
TX

Other

Enumeration date
06/05/2007
Last updated
12/21/2016
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