Active NPIIndividual providerSole proprietor

Dr. Kenneth Y Davis, DC PC

Chiropractor in Ridgewood, New Jersey

NPI Number1073732509
Practice location
60 W Ridgewood Ave, Ridgewood, NJ 07450-3197
Fax
201-652-1708
Last updated
November 21, 2011

Kenneth Yale Davis is a Chiropractor based in Ridgewood, NJ. Kenneth Yale Davis practices in Ridgewood, NJ and has the professional credentials of DC PC. The NPI Number for Kenneth Yale Davis is 1073732509 and holds a License No. NJ1600 (NJ). The current practice location address for Kenneth Yale Davis is 60 W Ridgewood Ave, Ridgewood, NJ 07450-3197 and can be reached out via phone at 201-652-2554 and via fax at 201-652-1708.

Provider Profile Details

NPI Number
1073732509
Provider Name
Kenneth Yale Davis
Credential
DC PC
Provider Entity Type
Individual
Gender
Male
Address
60 W Ridgewood Ave, Ridgewood, NJ 07450-3197
Phone Number
201-652-2554
Fax Number
201-652-1708
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 24, 2007
Last Update Date
November 21, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
60 W Ridgewood Ave
Ridgewood, NJ 07450-3197
Zip
07450-3197
Phone Number
201-652-2554
Fax Number
201-652-1708
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
60 W Ridgewood Ave
Ridgewood, NJ 07450-3197
City
Ridgewood
State
NJ
Zip
07450-3197
Phone Number
201-652-2554
Fax Number
201-652-1708

License Information

License Number
NJ1600
License State
NJ
Taxonomy
Chiropractor · 111N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kenneth Y Davis, DC PC?

The NPI number of Dr. Kenneth Y Davis, DC PC is 1073732509. It was assigned on April 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Kenneth Y Davis, DC PC?

Dr. Kenneth Y Davis, DC PC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number NJ1600.

Where does Dr. Kenneth Y Davis, DC PC practice?

The practice location is 60 W Ridgewood Ave, Ridgewood, NJ 07450-3197. The office can be reached at 201-652-2554 (phone) or 201-652-1708 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073732509 directly on the NPPES registry website.

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