Individual
CHRISTOPHER LEWIS KOBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
4221 SHASTA DAM BLVD, SHASTA LAKE, CA 96019-9423
(530) 275-1585
(530) 275-8662
Mailing address
PO BOX 776, SHASTA LAKE, CA 96019-0776
(530) 275-1585
(530) 275-8662
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
16454
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235152364
GROUP NPI
CA
01
—
1568496743
PARTNER KAY KOBE DC NPI
CA
05
—
DC0164540
—
CA
01
—
ZZZ08124Z
BLUE SHIELD/CROSS GROUP#
CA
01
—
ZZZ27906Z
GROUP MEDICARE
CA
Enumeration date
07/11/2006
Last updated
10/11/2007
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