Individual ProviderKyle PolitzChiropractorChiropractic ProvidersPractice Address6528 W Lake St Ste D, Minneapolis, MN 55426-4246(952) 977-9944PECOS EnrollmentBased on the most recent information from CMS, provider Kyle Politz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:47 AM.Profile DetailsProvider ID1164987228Provider TypeIndividualFull NamePolitz, KyleTitleDr.CredentialDCGenderMaleSole ProprietorYesEnumeration Date2/4/2019Last Updated11/11/2020Contact InformationPractice LocationPractice Address6528 W Lake St Ste D, Minneapolis, MN 55426-4246Phone(952) 977-9944FaxUnlisted FaxMailing LocationMailing Address6528 W Lake St Ste D, Minneapolis, MN 55426-4246Phone(952) 977-9944FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense6595Minnesota