| NPI | 1033521430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A KIMBLE Chiropractor/Owner 405-265-3920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center Pain (Licence: OK 4154) |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service (Licence: OK 4154) |
| Enumeration Date | 2014-05-20 |
| Last Update Date | 2014-05-20 |