AUDRA ROSE KUOPPALA


Address: 5050 Wa State Hwy 303, Suite A101, Bremerton, WA 98311
Phone: 3606277408

AUDRA ROSE KUOPPALA (NPI# 1306495775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306495775
Entity Type Individual
Full Name AUDRA ROSE KUOPPALA
Other Name AUDRA ROSE CLEMENT
Credential DC
Practice Address 5050 Wa State Hwy 303
Suite A101
Bremerton
WA 98311
Mailing Address 8202 Ne State Highway 104 Ste 105
Kingston
WA 98346-9454
Practice Telephone 3606277408
Enumeration Date 2019-09-09
Last Update Date 2019-09-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor CH60987430 WA Chiropractic Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 1295287035 05
WA 1073032157 05
WA 1124105598 05
WA 1366890998 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
8202 Ne State Highway 104, Kingston, WA 983469454 3602970037

Office Location

Street Address 5050 WA STATE HWY 303
SUITE A101
City BREMERTON
State WA
Zip Code 98311

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811535420 Naomi Arguelles Counselor 5455 Almira Drve Ne, Bremerton, WA 98311 2019-12-13
1891351888 Amanda Olney Flint Massage Therapist 5050 Wa-303, A101, Bremerton, WA 98311 2019-05-15
1265995385 Daniel Mcclough Massage Therapist 5050 Wa-303 A101, Bremerton, WA 98311 2019-04-08
1073032157 Kingston Crossing Wellness Ps Chiropractor 5050 Hwy 303 Ne, Suite A 101, Bremerton, WA 98311 2017-09-11
1811252117 Kayla Sue Kooker Massage Therapist 5050 State Hwy 303 Ne #a101, Bremerton, WA 98311 2012-07-12
1336458983 Shannon Christine Stewart Mechanotherapist 1487 Dawn Rd. Ne, Bremerton, WA 98311 2010-09-30
1174779656 Kimberly Ann Vickery Specialist 5060 Highway 303 Ne, Suite 103, Bremerton, WA 98311 2008-08-15
1790988228 Cynthia Erickson Specialist 9125 Central Valley Rd., Bremerton, WA 98311 2007-06-11
1114132388 Jennifer Ross Tanguay Nurse Anesthetist, Certified Registered 1275 Ne Franklin Ave Ste A, Bremerton, WA 98311 2007-05-11
1326180811 Jessie Michelle Banks Dentist 1344 Ne Mcwilliams Road, Bremerton, WA 98311 2007-02-13
Find all providers in zip 98311

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1073032157 Kingston Crossing Wellness Ps Chiropractor 5050 Hwy 303 Ne, Suite A 101, Bremerton, WA 98311 2017-09-11
1972025062 Gemmer Wellness, LLC Chiropractor 9889 Central Valley Rd Ne, Bremerton, WA 98311-9131 2017-07-11
1962807131 Justin Reid Chiropractor 1487 Ne Dawn Rd, Bremerton, WA 98311-3122 2014-10-29
1700298510 Erika Claire O'leary Chiropractor 1100 Wheaton Way Ste B, Bremerton, WA 98310-4459 2014-05-28
1164840047 Amber Rose Morison Chiropractor 3963 Sand Dollar Road West, Bremerton, WA 98312 2014-03-28
1801166533 Alpine Chiropractic Clinic Ps, Inc. Chiropractor 4020 Wheaton Way, Suite N, Bremerton, WA 98310-3566 2012-01-11
1346545829 Doyle & Associates Chiropractic Clinic Inc Ps Chiropractor 603 Chester Avenue, Bremerton, WA 98337 2011-01-14
1740302173 Amy Marie Olsen Chiropractor 3309 Perry Ave Ste 102, Bremerton, WA 98310-5369 2007-04-05
1346374311 David Lee Corley Sr. Chiropractor 603 Chester Ave, Bremerton, WA 98337-1266 2007-03-14
1811030471 Ronald S Hillers Chiropractor 4020 Wheaton Way Ste N, Bremerton, WA 98310-3566 2007-02-14
Find all providers in BREMERTON

Competitor

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City BREMERTON
Zip Code 98311

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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