Provider Demographics
NPI:1366291239
Name:K2 OSTEOPATHIC, LLC
Entity type:Organization
Organization Name:K2 OSTEOPATHIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:M
Authorized Official - Last Name:KANZE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:267-437-3299
Mailing Address - Street 1:300 E LANCASTER AVE STE 201B
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-2146
Mailing Address - Country:US
Mailing Address - Phone:267-437-3299
Mailing Address - Fax:215-848-1600
Practice Address - Street 1:300 E LANCASTER AVE STE 201B
Practice Address - Street 2:
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-2146
Practice Address - Country:US
Practice Address - Phone:267-437-3299
Practice Address - Fax:215-848-1600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Multi-Specialty
No202D00000XAllopathic & Osteopathic PhysiciansIntegrative MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty