Organization
KILCUP CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRELL R KILCUP DC (OWNER)
(602) 864-0304
Entity
Organization
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
AZ
Enumeration date
10/28/2008
Last updated
04/02/2009
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