Keith Leroy Sparks D.C.

NPI 1114098860 - Chiropractor - 111N00000X

NPI Details
NPI 1114098860
Gender Male
Enumeration Date 11/13/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1107 KERN ST
SUITE #7
TAFT CA, 93268-4604, US
Phone (661) 765-2225
Fax (661) 765-1421
Business Location
1107 KERN ST
SUITE #7
TAFT CA, 93268-4604, US
Phone (661) 765-2225
Fax (661) 765-1421
Toxanomy
Taxonomy Code 111N00000X
License State California
License Number DC23991
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According to our database, Mr. Keith Leroy Sparks D.C. NPI is 1114098860, taxonomy code is 111N00000X and license number is DC23991, license state is located at California. Keith Leroy Sparks D.C. physically located at 1107 Kern St, Taft CA, 93268-4604. NPI Number Keith Leroy Sparks D.C. has the Individual type.

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1114098860 NPI number is provided on an as is basis without warranty of any kind. 1114098860 is maintained by the National Plan & Provider Enumeration System. The contents of Keith Leroy Sparks D.C. are for informational purposes only.