Provider Demographics
NPI:1437943677
Name:NORTH BRANCH FAMILY CHIROPRACTIC LLC
Entity type:Organization
Organization Name:NORTH BRANCH FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAYLENE
Authorized Official - Middle Name:MYA
Authorized Official - Last Name:HUTCHINGS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:651-470-5422
Mailing Address - Street 1:30026 VASSAR ST NE
Mailing Address - Street 2:
Mailing Address - City:NORTH BRANCH
Mailing Address - State:MN
Mailing Address - Zip Code:55056-6573
Mailing Address - Country:US
Mailing Address - Phone:651-470-7157
Mailing Address - Fax:
Practice Address - Street 1:6241 MAIN ST STE 102
Practice Address - Street 2:
Practice Address - City:NORTH BRANCH
Practice Address - State:MN
Practice Address - Zip Code:55056-5139
Practice Address - Country:US
Practice Address - Phone:651-470-5422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty