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Individual

KYLE PALMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
7450 E PINNACLE PEAK RD, #154, SCOTTSDALE, AZ 85255-3435
(480) 419-8900
(480) 419-9212
Mailing address
7450 E PINNACLE PEAK RD STE 154, SCOTTSDALE, AZ 85255-3605
(480) 419-8900
(480) 419-9212

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7015
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
628240
ACN PROVIDER ID
AZ
01
7418290
AETNA ID
AZ
01
AZ0931770
BLUE CROSS BLUE SHIELD ID
AZ
Enumeration date
10/24/2006
Last updated
09/19/2016
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