Provider Demographics
NPI:1285387191
Name:KNEIP, CONOR ROBERT (DC)
Entity type:Individual
Prefix:DR
First Name:CONOR
Middle Name:ROBERT
Last Name:KNEIP
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1431 14TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:LE MARS
Mailing Address - State:IA
Mailing Address - Zip Code:51031-4706
Mailing Address - Country:US
Mailing Address - Phone:712-541-0549
Mailing Address - Fax:
Practice Address - Street 1:1431 14TH AVE SE
Practice Address - Street 2:
Practice Address - City:LE MARS
Practice Address - State:IA
Practice Address - Zip Code:51031-4706
Practice Address - Country:US
Practice Address - Phone:712-541-0549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-31
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA112018111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor