DR. KRISTIAN JOEL KAKAVAS VI (NPI# 1437102217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437102217 |
| Entity Type | Individual |
| Full Name | DR. KRISTIAN JOEL KAKAVAS VI |
| Credential | DC |
| Practice Address |
2318 Pershing Blvd Clinton IA 52732-2231 |
| Practice Telephone | 5632421512 |
| Practice Fax Number | 5632411087 |
| Mailing Telephone | 5632421512 |
| Mailing Fax Number | 5632411087 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2013-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 06560 | IA | Chiropractic Providers |
| Street Address |
2318 PERSHING BLVD |
| City | CLINTON |
| State | IA |
| Zip Code | 52732-2231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343240 | Janet R Graf | Technician | 450 South 19th St., Clinton, IA 52732 | 2019-08-29 |
| 1346807443 | Karen Daniels | Nurse Practitioner | 2701 Frienship Trl, Apt 1001, Clinton, IA 52732 | 2019-05-23 |
| 1053835256 | Linda Karina Garcia | Physician Assistant | 1410 N Fourth St, Clinton, IA 52732 | 2017-07-29 |
| 1821528423 | Tricia Lee Grimes | Technician | 2349 Dunham St, Clinton, IA 52732 | 2017-06-15 |
| 1750822425 | Danielle Judd | Skilled Nursing Facility | 2220 N 5th St, Clinton, IA 52732 | 2017-03-15 |
| 1689047185 | Connell Family Chiropractic Pllc | Chiropractor | 1485 Main Avenue, Clinton, IA 52732 | 2015-11-05 |
| 1942619713 | Reese Raymond Petersen | Chiropractor | 2319 S 19th St, Clinton, IA 52732 | 2014-08-06 |
| 1487942298 | Wagner Pharmacy Company | Pharmacy | 1726 N. 2nd Street, Clinton, IA 52732 | 2011-07-13 |
| 1275829921 | Rebecca Plante | Pharmacist | 1309 N 2nd Street, Clinton, IA 52732 | 2011-06-21 |
| 1639318363 | Ryan P Connell | Chiropractor | 1437 Main Ave, Clinton, IA 52732 | 2009-02-19 |
| Find all providers in zip 52732 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912030 | Morgan Jean Hickman | Chiropractor | 211 S Quincy St, Clinton, IL 61727-1953 | 2019-09-25 |
| 1699244871 | Pinnacle Integrative Healthcare, Pllc | Chiropractor | 2418 S 18th St, Clinton, IA 52732-6827 | 2018-11-17 |
| 1437627734 | Ashley Lynn Susie | Chiropractor | 3008 Lincoln Way Ste B, Clinton, IA 52732-7240 | 2018-11-05 |
| 1609342609 | Warren Chiropractic & Wellness Clinic, LLC | Chiropractor | 244 Highway 65 N Ste 1, Clinton, AR 72031-6677 | 2018-10-17 |
| 1609390699 | Abundant Health Chiropractic LLC | Chiropractor | 90 Beaver Ave Ste 302, Clinton, NJ 08809-1017 | 2017-08-01 |
| 1699204180 | Resurgencepro | Chiropractor | 1641 N 2475 W, Clinton, UT 84015-8237 | 2017-06-08 |
| 1689047185 | Connell Family Chiropractic Pllc | Chiropractor | 1485 Main Avenue, Clinton, IA 52732 | 2015-11-05 |
| 1942619713 | Reese Raymond Petersen | Chiropractor | 2319 S 19th St, Clinton, IA 52732 | 2014-08-06 |
| 1154739621 | Melissa Peters | Chiropractor | 2344 Camanche Ave, Clinton, IA 52732-6034 | 2014-07-29 |
| 1912335860 | Clinton Back and Neck Family Wellness, PC | Chiropractor | 951 13th Ave N, Clinton, IA 52732-5032 | 2013-10-30 |
| Find all providers in CLINTON | ||||
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| 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.