Provider Demographics
NPI:1962730465
Name:MUHLENKAMP, KIMBERLY ANN (DC)
Entity type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:ANN
Last Name:MUHLENKAMP
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6860 TYLERSVILLE RD STE 1
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-1236
Mailing Address - Country:US
Mailing Address - Phone:513-285-7482
Mailing Address - Fax:513-285-7483
Practice Address - Street 1:6860 TYLERSVILLE RD STE 1
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-1236
Practice Address - Country:US
Practice Address - Phone:513-285-7482
Practice Address - Fax:513-285-7483
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-23
Last Update Date:2021-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4152111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
103I352456Medicare PIN