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Dr. Kole Jordan Kopnicky, DC
Chiropractor in Conroe, Texas
NPI 1558682716

Kole Jordan Kopnicky is a Chiropractor based in Conroe, TX. Kole Jordan Kopnicky practices in Conroe, TX and has the professional credentials of DC. The NPI Number for Kole Jordan Kopnicky is 1558682716 and holds a License No. 11485 (Texas).

The current practice location address for Kole Jordan Kopnicky is 4015 Interstate 45 N, Conroe, TX and can be reached out via phone at 936-522-4731 and via fax at 936-522-4736.

Location: 4015 Interstate 45 N, Conroe, TX, 77304-4901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558682716
Provider Name
Kole Jordan Kopnicky
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
4015 Interstate 45 N, Conroe, TX, 77304-4901
Phone Number
936-522-4731
Fax Number
936-522-4736
Provider Enumeration Date
06/22/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00J21A 01 TX GROUP MEDICARE
094010801 01 TX GROUP MEDICAID
institution
Provider Business Practice Location Address Details
Address
4015 Interstate 45 N
City
Conroe
State
Texas
Zip
77304-4901
Phone Number
936-522-4731
Fax Number
936-522-4736
person
Provider Business Mailing Address Details
Address
4015 Interstate 45 N
City
Conroe
State
Texas
Zip
77304-4901
Phone Number
936-522-4731
Fax Number
936-522-4736
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
11485 (Texas)
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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