Kwndcpc

NPI 1285766154 - Chiropractor - 111N00000X

NPI Details
NPI 1285766154
Enumeration Date 03/09/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KEITH KEITH
Position OWENER
Phone (812) 280-8188
Fax
Practice Location
1118 EASTERN BLVD.
CLARKSVILLE IN, 47129, US
Phone (812) 280-8188
Fax
Business Location
1118 EASTERN BLVD.
CLARKSVILLE IN, 47129, US
Phone
Fax
Toxanomy
Taxonomy Code 111N00000X
License State Indiana
License Number 08000999A
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According to our database, Kwndcpc NPI is 1285766154, taxonomy code is 111N00000X and license number is 08000999A, license state is located at Indiana. Kwndcpc physically located at 1118 Eastern Blvd., Clarksville IN, 47129. NPI Number 1033115704 has the healthcare provider type.

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1285766154 NPI number is provided on an as is basis without warranty of any kind. 1285766154 is maintained by the National Plan & Provider Enumeration System. The contents of Kwndcpc are for informational purposes only.