Dr. Kyle A Knoell, DC, MHA, CCCSMP, CCI
Chiropractor, Sports Physician in South Amboy, NJ. Individual provider (NPI-1).
NPI number1003018680
StatusActive
Last updated in NPPESDec 21, 2016
Details
- NPI
- 1003018680
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kyle A Knoell
- Credential
- DC, MHA, CCCSMP, CCI
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2007
- Last updated
- Dec 21, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NS0005X | Chiropractor, Sports Physician | 38MC00521600 | NJ | Yes |
| 111NS0005X | Chiropractor, Sports Physician | 38MC00521600 | TX | |
| 111NR0400X | Chiropractor, Rehabilitation | 38MC00521600 | NY | |
| 111NI0013X | Chiropractor, Independent Medical Examiner | 38MC00521600 | TX |
Practice location
540 Bordentown Ave4 Fl, Suite 4900
South Amboy, NJ 08879
Phone 732-721-3300 · Fax 732-721-3302
Mailing address
Po Box 61East Brunswick, NJ 08816-0061
Phone 732-721-3300 · Fax 732-721-3302
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