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KLUSENDORF CHIROPRACTIC SC
NPI 1023179942
Chiropractor in Appleton, WI

Active since December 13, 2006
2505 E EVERGREEN DR, STE, APPLETON, WI 54913(920) 735-0773(920) 735-0293 Get Directions Write a Review

NPPES record last updated: June 30, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Klusendorf Chiropractic Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KLUSENDORF CHIROPRACTIC SC (NPI 1023179942) is a healthcare organization registered as a chiropractor in Appleton, Wisconsin and active in the NPI registry since December 2006. The organization lists Bryan J Klusendorf, Dr Of Chiropractic Owner, as its authorized official.

NPPES Registry Identity

NPI1023179942
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameKLUSENDORF CHIROPRACTIC SC
Location Address2505 E EVERGREEN DR, STEAppleton, WI 54913-8910
Mailing Address2505 E Evergreen Dr, Ste AAppleton, WI 54913-8910 · (920) 735-0773 · Fax (920) 735-0293
Phone(920) 735-0773
Fax(920) 735-0293
Organization SubpartNo
Authorized OfficialBryan J KlusendorfDr Of Chiropractic Owner · (920) 735-0773
Enumeration DateDecember 13, 2006
Last NPPES UpdateJune 30, 2011
✔ NPI 1023179942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 1690
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.
2505 E EVERGREEN DR, Appleton, WI 54913
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Other Identifiers 2

Medicare ID-Type UnspecifiedT62440WI · Medicare Provider #000035
Medicare UPINT62440

Group Practice 1

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BRYAN J KLUSENDORF DC
Chiropractor
2505 E EVERGREEN DR, STE A
APPLETON, WI 54913
Outagamie County (920) 735-0773

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Klusendorf Chiropractic Sc's NPI number?

The NPI number for Klusendorf Chiropractic Sc is 1023179942. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Klusendorf Chiropractic Sc located?

Klusendorf Chiropractic Sc is located at 2505 E Evergreen Dr Ste, Appleton, WI 54913. The listed phone number is (920) 735-0773.

What is Klusendorf Chiropractic Sc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Klusendorf Chiropractic Sc was last updated on June 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.