Dr. Kenneth W Pauly , DC
Chiropractor • Willmar, MN
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kenneth Pauly has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Kenneth Pauly, DC was a registered Chiropractor practicing in Willmar, MN. Throughout an active medical career spanning 18 years, Dr. Pauly provided care at the practice location at 412 19TH AVE SW until profile deactivation on 2023-08-02.
Practice Location & Contact Primary Location
412 19th Ave Sw
Willmar, MN 562015297
Specialty Benchmarks & Practice Insights
Comparative analytics for Chiropractor in Willmar, MN
Practicing in Willmar, MN (3487 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 111N00000X
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.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Chiropractor
Doctor of Chiropractic
Career & Practice History Timeline
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Record deactivated on August 02, 2023
NPI status registered as active in NPPES database
Registered at 412 19TH AVE SW, WILLMAR, MN 562015297 (Tel: 3202358380)
Registered at 412 19TH AVE SW, WILLMAR, MN 562015297 (Tel: 3202358380)
Recorded as KENNETH PAULY, D.C.
Chiropractor (License #1687 in MN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
412 19th Ave Sw
Willmar, MN 562015297
Phone: 3202358380
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