Individual
DR. DARRELL R KILCUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7016 N 27TH AVE, PHOENIX, AZ 85051-8402
(602) 864-0304
(602) 864-0990
Mailing address
7016 N 27TH AVE, PHOENIX, AZ 85051-8402
(602) 864-0304
(602) 864-0990
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4935
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ0930450
BCBS PIN #
AZ
Enumeration date
07/15/2005
Last updated
06/16/2008
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