DR. KYLE JAMES KOERNER (NPI# 1710511357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710511357 |
| Entity Type | Individual |
| Full Name | DR. KYLE JAMES KOERNER |
| Credential | DC |
| Practice Address |
19600 E 39th St S Independence MO 64057-2301 |
| Mailing Address |
11010 Delaware Pkwy Apt 3104 Kansas City KS 66109-3586 |
| Practice Telephone | 8167955300 |
| Mailing Telephone | 3163230220 |
| Enumeration Date | 2020-02-22 |
| Last Update Date | 2020-02-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 2020005290 | MO | Chiropractic Providers |
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
2020005290 | MO | Chiropractic Providers |
| Street Address |
19600 E 39TH ST S |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64057-2301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194717223 | Terry Eugene Lienhop | Emergency Medicine | 19600 E 39th St S, Independence, MO 64057-2301 | 2005-08-16 |
| 1306477096 | Kelsie Rhea Town | Nurse Practitioner | 19600 E 39th St S, Independence, MO 64057-2301 | 2020-01-31 |
| 1669002515 | Charleen Brianne Sims | Nurse Practitioner | 19600 E 39th St S, Independence, MO 64057-2301 | 2020-01-20 |
| 1033671243 | Sol Allan Enriquez | Hospitalist | 19600 E 39th St S, Independence, MO 64057-2301 | 2019-04-05 |
| 1275098972 | Alfonso J Martinez Md LLC | Internal Medicine | 19600 E 39th St S, Independence, MO 64057-2301 | 2019-02-06 |
| 1811481153 | Kimberly Harris | Nurse Practitioner | 19600 E 39th St S, Independence, MO 64057-2301 | 2018-06-20 |
| 1821522186 | Rachel Anne Mcdonald | Family Medicine | 19600 E 39th St S, Independence, MO 64057-2301 | 2017-04-13 |
| 1326572876 | Joseph Sayegh | Family Medicine | 19600 E 39th St S, Independence, MO 64057-2301 | 2017-04-11 |
| 1144752767 | Erin Waldron | Registered Nurse | 19600 E 39th St S, Independence, MO 64057-2301 | 2017-04-02 |
| 1346788247 | Alison Marsh | Nurse Practitioner | 19600 E 39th St S, Independence, MO 64057-2301 | 2017-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
| 1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
| 1437693561 | Derek Faulkner | Counselor | 2400 Little Blue Pkwy, Independence, MO 64057 | 2016-12-08 |
| 1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
| 1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
| 1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
| 1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
| 1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
| 1093128159 | Jennifer Falk Crumbaugh | Dentist | 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 | 2014-06-06 |
| 1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
| Find all providers in zip 64057 | ||||
| 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 |
|---|---|---|---|---|
| 1366088296 | Jennifer Lynn Shafer | Chiropractor | 19550 E 39th St S Ste 235, Independence, MO 64057-2305 | 2019-11-26 |
| 1942844972 | Shelby Cuellar | Chiropractor | 2051 Centennial Boulevard, Independence, KY 41051 | 2019-11-02 |
| 1710485925 | Paramount Health LLC | Chiropractor | 20100 E Jackson Dr Ste A, Independence, MO 64057-2120 | 2018-01-23 |
| 1982019840 | Timothy Paul Sullivan | Chiropractor | 17000 E Us Highway 40 Ste 7, Independence, MO 64055-5394 | 2014-06-30 |
| 1215370556 | Bryan Craig Baker | Chiropractor | 13723 E 39th St S, Independence, MO 64055-3321 | 2013-04-16 |
| 1881933356 | Certain Care Inc. | Chiropractor | 411 E 23rd St S, Suite D, Independence, MO 64055-1580 | 2013-02-04 |
| 1487906889 | Null Chiropractic LLC | Chiropractor | 204 E Chestnut St, Independence, KS 67301-3132 | 2012-10-09 |
| 1811246242 | Independence Chiropractic, Inc. | Chiropractor | 1922 Walton Nichoolson Road, Independence, KY 41051 | 2012-08-30 |
| 1255691507 | David Michael Opperman | Chiropractor | 14810 E 42nd St S Ste 100, Independence, MO 64055-4890 | 2012-05-21 |
| 1982979167 | Absolutely Chiropractic & Acupuncture, LLC | Chiropractor | 921 E Stone St, Independence, MO 64050-4664 | 2012-03-20 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64057 |
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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.