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Dr. Richard A Kupcho, DC
Chiropractor in Port St Lucie, Florida
NPI 1023016813

Richard A Kupcho is a Chiropractor based in Port St Lucie, FL. Richard A Kupcho practices in Port St Lucie, FL and has the professional credentials of DC. The NPI Number for Richard A Kupcho is 1023016813 and holds a License No. 038006294 (Florida).

The current practice location address for Richard A Kupcho is 2715 Se Morningside Blvd, Port St Lucie, FL and can be reached out via phone at 772-337-4611 and via fax at 772-337-4619.

Location: 2715 Se Morningside Blvd, Port St Lucie, FL, 34952-5705
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023016813
Provider Name
Richard A Kupcho
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2715 Se Morningside Blvd, Port St Lucie, FL, 34952-5705
Phone Number
772-337-4611
Fax Number
772-337-4619
Provider Enumeration Date
07/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11319830 01 CAQH
CH6447 01 FL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
2715 Se Morningside Blvd
City
Port St Lucie
State
Florida
Zip
34952-5705
Phone Number
772-337-4611
Fax Number
772-337-4619
person
Provider Business Mailing Address Details
Address
2715 Se Morningside Blvd
City
Port St Lucie
State
Florida
Zip
34952-5705
Phone Number
772-337-4611
Fax Number
772-337-4619
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038006294 (Illinois)
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.
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