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NPI 1497815575

IndividualActive

Kyle Koenke, D.C.

NPI 1497815575 · Sports Physician Chiropractor · Mesa, AZ

Provider details

NPI number: 1497815575
Entity type: Individual
Primary specialty: Sports Physician ChiropractorChiropractic Providers
Credential: D.C.
Sex: Male
Sole proprietor: No
License: 7157 (AZ)

Practice location

1066 N Power Rd Ste 104

Mesa, AZ 85205-5709

Phone: (480) 830-7288

Fax: (480) 985-7255

More AZ providers

Mailing address

1066 N Power Rd Ste 104

Mesa, AZ 85205-5709

Registry dates

Enumerated: 2006-12-11
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Kyle Koenke, D.C. — NPI 1497815575, Mesa, AZ | NPI Central