Kanoa Pornelos-king (NPI# 1902294036, PAC ID# 0941527360) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1902294036 |
| PAC ID by PECOS | 0941527360 |
| Professional Enrollment ID | I20150324001861 |
| Full Name | Kanoa Pornelos-king |
| Organization Legal Name | PERFORMANCE HEALTH SPINE AND SPORT THERAPY |
| Address |
91 A N State St Concord NH 03301-4334 |
| Phone Number | 6037242297 |
| Gender | M |
| Medical School | WESTERN STATES COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2014 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 0244491710 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 91 A N State St, Concord, NH 03301-4334 | 6037242297 | PERFORMANCE HEALTH SPINE AND SPORT THERAPY |
| Organization Legal Name | PERFORMANCE HEALTH SPINE AND SPORT THERAPY |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roswell F Childs | Physical Therapy | Performance Health Spine and Sport Therapy | 91 A N State St, Concord, NH 03301-4334 |
| Brett M Coapland | Chiropractic | Performance Health Spine and Sport Therapy | 91 A N State St, Concord, NH 03301-4334 |
| Ryan C Kelly | Physical Therapy | Performance Health Spine and Sport Therapy | 91 A N State St, Concord, NH 03301-4334 |
| Sarah Marie Coulombe | Physical Medicine and Rehabilitation | Performance Health Spine and Sport Therapy | 91 A N State St, Concord, NH 03301-4334 |
| Street Address |
91 A N STATE ST |
| City | CONCORD |
| State | NH |
| Zip | 03301-4334 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roswell F Childs | Physical Therapy | Performance Health Spine and Sport Therapy | 91 A N State St, Concord, NH 03301-4334 |
| Brett M Coapland | Chiropractic | Performance Health Spine and Sport Therapy | 91 A N State St, Concord, NH 03301-4334 |
| Ryan C Kelly | Physical Therapy | Performance Health Spine and Sport Therapy | 91 A N State St, Concord, NH 03301-4334 |
| Sarah Marie Coulombe | Physical Medicine and Rehabilitation | Performance Health Spine and Sport Therapy | 91 A N State St, Concord, NH 03301-4334 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda J Zollo | Psychologist, Clinical | 18 N St, Suite 303, Concord, NH 03301 | |
| Nicole S Ross | Neuropsychiatry | Riverbend Community Mental Health, Inc. | 105 Prescott Park, Bldg 3, Concord, NH 03301 |
| Anne K Pike | Psychologist, Clinical | Riverbend Community Mental Health, Inc. | 105 Prescott Park, Bldg 3, Concord, NH 03301 |
| Diana Weiner | Psychiatry | Riverbend Community Mental Health, Inc. | 105 Prescott Park, Bldg 3, Concord, NH 03301 |
| Dawn M Decosta | Nurse Practitioner | Riverbend Community Mental Health, Inc. | 105 Prescott Park, Bldg 3, Concord, NH 03301 |
| Rebecca Neal | Psychiatry | Riverbend Community Mental Health, Inc. | 105 Prescott Park, Bldg 3, Concord, NH 03301 |
| Leanne Booth | Nurse Practitioner | Riverbend Community Mental Health, Inc. | 105 Prescott Park, Bldg 3, Concord, NH 03301 |
| Percy Ballantine Ii | Psychiatry | Riverbend Community Mental Health, Inc. | 105 Prescott Park, Bldg 3, Concord, NH 03301 |
| Jeffrey Fetter | Psychiatry | Riverbend Community Mental Health, Inc. | 105 Prescott Park, Bldg 3, Concord, NH 03301 |
| Erica J Fasano | Psychiatry | Riverbend Community Mental Health, Inc. | 105 Prescott Park, Bldg 3, Concord, NH 03301 |
| Find all physicians in zip 03301 | |||
| City | CONCORD |
| Zip Code | 03301 |
| Specialty | CHIROPRACTIC |
| City + Specialty | CONCORD + CHIROPRACTIC |
Please comment or provide details below to improve the information on Kanoa Pornelos-king.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.