KC CORE MN PLLC (NPI# 1952847741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952847741 |
| Entity Type | Organization |
| Organization Name | KC CORE MN PLLC |
| Other Organization Name | KC CORE |
| Practice Address |
6545 France Ave S Suite 301 Edina MN 55435-2131 |
| Practice Telephone | 7122298837 |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2017-01-17 |
| Authorized Official Name | GRANT M NOBLES (OWNER/CHIROPRACTOR) |
| Authorized Official Telephone | 7122298837 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 007601 | IA | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| KC CORE | Doing Business As Name - Organization |
| Street Address |
6545 FRANCE AVE S SUITE 301 |
| City | EDINA |
| State | MN |
| Zip Code | 55435-2131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578569042 | Paul S. Gotlieb | Internal Medicine | 6545 France Ave S, Suite 150, Edina, MN 55435-2131 | 2005-06-21 |
| 1972111003 | Alexandra Michele Vecchia | Pharmacist | 6545 France Ave S, Edina, MN 55435-2131 | 2020-07-15 |
| 1144879396 | Sarah Pupkes Clark | Pharmacist | 6545 France Ave S, Edina, MN 55435-2131 | 2019-09-10 |
| 1043793144 | Stephanie Lynae Gulbranson | Nurse Practitioner | 6545 France Ave S, Edina, MN 55435-2131 | 2018-09-13 |
| 1366940850 | Elise Graham | Dietitian, Registered | 6545 France Ave S, Edina, MN 55435-2131 | 2018-01-30 |
| 1255877031 | Jami Teresa Weiss | Physician Assistant | 6545 France Ave S, 450, Edina, MN 55435-2131 | 2017-01-17 |
| 1255881967 | Dawn Hostenske Tope | Nurse Practitioner | 6545 France Ave S, Suite 564, Edina, MN 55435-2131 | 2016-10-05 |
| 1366894180 | Angela Yarbrough | Pharmacist | 6545 France Ave S, Edina, MN 55435-2131 | 2016-07-05 |
| 1467842419 | Steven Pals | Nurse Practitioner | 6545 France Ave S, Suite 450, Edina, MN 55435-2131 | 2015-01-29 |
| 1649679515 | Joanna Willis | Acupuncturist | 6545 France Ave S, C-21, Edina, MN 55435-2131 | 2014-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433416 | Evy Christine Claussen | Social Worker | 6363 France Ave. S., Edina, MN 55435 | 2020-09-30 |
| 1508496621 | Samantha Jean Mcgough Lamere | Physician Assistant | 4300 Marketpointe Drive, Suite 100, Bloomington, MN 55435 | 2020-01-16 |
| 1659920460 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3408 Galleria, Edina, MN 55435 | 2019-09-05 |
| 1730651639 | Taylor Lee Kehoe | Physician Assistant | 7400 France Ave., Suite #100, Edina, MN 55435 | 2018-12-18 |
| 1538666326 | Amanda Deangelo | Physical Therapist | 6401 Southdale Hospital, Ll3g, Edina, MN 55435 | 2018-04-09 |
| 1982107876 | Julia Seliber | Dental Hygienist | 7600 France Ave.s. Suite 1100, Edina, MN 55435 | 2018-03-16 |
| 1154840064 | Southhealth Asc, LLC | Clinic/Center | 4100 Minnesota Drive, Edina, MN 55435 | 2017-09-12 |
| 1730605528 | Edina Medical Supplies | Durable Medical Equipment & Medical Supplies | 7455 France Ave., #614 S, Edina, MN 55435 | 2017-08-14 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1306206321 | Barb Ryan | Mechanotherapist | 7550 France Avenue S, #220, Edina, MN 55435 | 2016-03-03 |
| Find all providers in zip 55435 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457969206 | Beau Macmillan Bates | Chiropractor | 7400 Metro Blvd Ste 222, Edina, MN 55439-2321 | 2020-07-17 |
| 1942834734 | Gavin Bronson | Chiropractor | 5201 Eden Ave Ste 190, Edina, MN 55436-2368 | 2020-03-02 |
| 1750912291 | Jordan Shilts | Chiropractor | 4820 W 77th St Ste 150, Edina, MN 55435-4822 | 2020-02-03 |
| 1164916425 | Scott Eric Hawkins | Chiropractor | 7129 France Ave S, Edina, MN 55435-4304 | 2018-06-20 |
| 1992216295 | Vitality Life Chiropractic, LLC | Chiropractor | 7250 France Ave S, Ste 300a, Edina, MN 55435-4305 | 2017-10-13 |
| 1780112847 | Jessica Mae Boyles | Chiropractor | 7301 Ohms Ln Ste 430, Edina, MN 55439-2376 | 2017-06-01 |
| 1255798617 | Radiance Spine Injury & Wellness Center | Chiropractor | 7201 York Ave S Apt 1219, Edina, MN 55435-4447 | 2016-01-15 |
| 1912372772 | Sharon Williams Prahl | Chiropractor | 7600 Parklawn Ave Ste 349, Edina, MN 55435-5193 | 2015-12-04 |
| 1245616085 | Evan Natvig | Chiropractor | 6550 York Ave. S, Suite 303, Edina, MN 55435 | 2015-08-04 |
| 1144574880 | Christopher Bargmann | Chiropractor | 3925 W 50th St Ste 202, Edina, MN 55424-1247 | 2012-11-02 |
| Find all providers in EDINA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.