Kenneth R Vandyken (NPI# 1528417466, PAC ID# 5193019917) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1528417466 |
| PAC ID by PECOS | 5193019917 |
| Professional Enrollment ID | I20160802001504 |
| Full Name | Kenneth R Vandyken |
| Organization Legal Name | SPINAL AND SPORTS CARE CLINIC PS |
| Address |
12905 E Sprague Ave Spokane WA 99216-0731 |
| Phone Number | 5099220303 |
| Gender | M |
| Medical School | WESTERN STATES COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2016 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 3971408881 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12905 E Sprague Ave, Spokane, WA 99216-0731 | 5099220303 | SPINAL AND SPORTS CARE CLINIC PS |
| Organization Legal Name | SPINAL AND SPORTS CARE CLINIC PS |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany C Correll | Chiropractic | Spinal and Sports Care Clinic Ps | 12905 E Sprague Ave, Spokane, WA 99216-0731 |
| William J Choate | Chiropractic | Spinal and Sports Care Clinic Ps | 12905 E Sprague Ave, Spokane, WA 99216-0731 |
| Steven L Shirley | Chiropractic | Spinal and Sports Care Clinic Ps | 12905 E Sprague Ave, Spokane, WA 99216-0731 |
| Street Address |
12905 E SPRAGUE AVE |
| City | SPOKANE |
| State | WA |
| Zip | 99216-0731 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany C Correll | Chiropractic | Spinal and Sports Care Clinic Ps | 12905 E Sprague Ave, Spokane, WA 99216-0731 |
| William J Choate | Chiropractic | Spinal and Sports Care Clinic Ps | 12905 E Sprague Ave, Spokane, WA 99216-0731 |
| Steven L Shirley | Chiropractic | Spinal and Sports Care Clinic Ps | 12905 E Sprague Ave, Spokane, WA 99216-0731 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shira Y Albert | Nurse Practitioner | Providence Health and Services Washington | 12312 E Sprague Ave, Spokane Valley, WA 99216-0720 |
| Patricia Da Fichter | Chiropractic | 13701 E Sprague Ave, Spokane Valley, WA 99216-0811 | |
| Dean David Evans | Physical Therapy | Sonny Physical Therapy LLC | 222 S Evergreen Rd, Spokane Valley, WA 99216-0834 |
| Randall Steven Hollman | Occupational Therapy | Sonny Physical Therapy LLC | 222 S Evergreen Rd, Spokane Valley, WA 99216-0834 |
| Elizabeth Michelle Gunderson | Hematology/oncology | Cancer Care Northwest Centers Ps | 1204 N Vercler Rd, Suite 201, Spokane Valley, WA 99216-1020 |
| Srijana Rai | Medical Oncology | Cancer Care Northwest Centers Ps | 1204 N Vercler Rd, Suite 201, Spokane Valley, WA 99216-1020 |
| Paula J Schomberg | Radiation Oncology | Cancer Care Northwest Centers Ps | 1204 N Vercler Rd, Suite 201, Spokane Valley, WA 99216-1020 |
| Maury N Blitman | Hematology/oncology | Cancer Care Northwest Centers Ps | 1204 N Vercler Rd, Suite 201, Spokane Valley, WA 99216-1020 |
| Mark E Sienko | Hematology/oncology | Cancer Care Northwest Centers Ps | 1204 N Vercler Rd, Suite 201, Spokane Valley, WA 99216-1020 |
| Karen L Stanek | Physical Medicine and Rehabilitation | 13007 E Mission Ave, Spokane Valley, WA 99216-1028 | |
| Find all physicians in zip 99216 | |||
| City | SPOKANE |
| Zip Code | 99216 |
| Specialty | CHIROPRACTIC |
| City + Specialty | SPOKANE + CHIROPRACTIC |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.