Organization
PINNACLE CHIROPRACTIC AND ACUPUNCTURE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY KELM DC (PRESIDENT)
(763) 544-3811
Entity
Organization
Contact information
Practice address
3021 HARBOR LN N, SUITE 109, PLYMOUTH, MN 55447-5109
(763) 544-3811
(763) 544-9989
Mailing address
3021 HARBOR LN N, SUITE 109, PLYMOUTH, MN 55447-5109
(763) 544-3811
(763) 544-9989
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4573
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104237
HEALTHPARTNERS ID
MN
01
—
378L7PI
BCBS GROUP NUMBER
MN
01
—
378L8KE
PROVIDER ID FOR BCBS
MN
Enumeration date
06/13/2007
Last updated
08/22/2020
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