Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 002589 | MI |
NPI | 1730194176 |
---|---|
Provider Name | Dr. Allen Earl Kash |
First Address | Madison Heights, MI 48071-2810 |
Second Address | Madison Heights, MI 48071-2810 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1071929 | (05) | MI |
T33356 | (02) | MI |