KENNETH H. CYR NPI 1003004375

Chiropractor in Pullman, WA

About KENNETH H. CYR

Kenneth H. Cyr is a provider in Pullman, WA. The NPI number assigned to this provider is 1003004375. The practitioner's primary taxonomy code is Chiropractor (111N00000X). The provider is registered as an organization and their NPI record was last updated 7 years ago. Kenneth H. Cyr operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Family Chiropractic Clinic.

NPI1003004375 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameKENNETH H. CYR
Provider Location Address1256 SE BISHOP BLVD SUITE N PULLMAN, WA 99163 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1256 SE BISHOP BLVD SUITE N PULLMAN, WA 99163 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Other Organization NameFAMILY CHIROPRACTIC CLINIC Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Other Name TypeDoing Business As (3)
Enumeration Date10-11-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date09-13-2010 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

KENNETH H. CYR
1256 SE BISHOP BLVD
SUITE N
PULLMAN, WA
ZIP 99163
Phone: (509) 332-1550
Fax: (509) 334-6768
Get Directions

Mailing Address

KENNETH H. CYR
1256 SE BISHOP BLVD
SUITE N
PULLMAN, WA
ZIP 99163
Phone: (509) 332-1550
Fax: (509) 334-6768

Primary Taxonomy

Taxonomy Code111N00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationChiropractor
TypeChiropractic Providers
License No.CH00002098
License StateWA
Taxonomy DescriptionA 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.

Authorized Official

Authorized Official NameDR. KENNETH H CYR D.C. Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleOWNER
Authorized Official Phone(509) 332-1550

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
GAB21378MEDICARE PIN (08)WA
T02437MEDICARE UPIN (02)WA

Map Location


KENNETH H. CYR address is 1256 SE BISHOP BLVD SUITE N PULLMAN, WA 99163

Other Providers at the same location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275553752 YEW POR NG MD
Individual
Family Medicine1256 SE BISHOP BLVD SUITE J
PULLMAN, WA 99163
(509) 334-7800
1417933318DR. KENNETH H CYR D.C.
Individual
Chiropractor1256 SE BISHOP BLVD
PULLMAN, WA 99163
(509) 332-1550
1457694556 DANIELLE E NOWLIN LMP
Individual
Massage Therapist1256 SE BISHOP BLVD J
PULLMAN, WA 99163
(206) 465-4194
1477009405 MARY STERLING
Individual
Massage Therapist1256 SE BISHOP BLVD SUITE J
PULLMAN, WA 99163
(509) 332-6506
1730638180FACIAL ORAL AND DENTAL IMPLANT SURGERY ASSOCIATES, INC.
Organization
Dentist (Oral and Maxillofacial Surgery)1256 SE BISHOP BLVD SUITE I
PULLMAN, WA 99163
(509) 330-5020